Outcomes of Using Dorsal Reverse Adipofascial Flap for Fingertip Reconstruction
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Abstract
The fingertip is essential to normal hand function, it is the most distal part of the upper extremity with which we probe our environment. [1,2] Fingertip injury is the most common soft tissue injury of the hand accounting for 45% of all hand injuries. [3] Many surgical techniques are used for reconstruction. In this study, we adopted using dorsal reverse Adipofascial Flap to treat fingertip injuries with exposed bones and evaluate the aesthetic and functional outcomes. Ten patients with fingertip injuries were reconstructed by dorsal reverse Adipofascial Flap without using skin graft but with preservation of the germinal matrix. All the patients were satisfied regarding the functional and aesthetic outcomes of the involved fingers. Apart from two patients who developed hyperesthesia during follow-up periods. The dorsal reversed Adipofascial Flap with preserving germinal matrix and without skin, grafting is reliable and durable over time with acceptable appearance.
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