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- Title
Fingertip Reconstruction with Subcutaneous Island Flap and Composite Graft: A Case Report.
- Authors
Jinha Park; Jin Soo Kim; Sung Hoon Koh; Dong Chul Lee; Si Young Roh; Kyung Jin Lee; Min Ki Hong
- Abstract
Reconstruction of amputated fingertips is extremely challenging when the amputee is very small and severely crushed. Moreover, there are not many options if distal phalanx is exposed due to defects of soft tissue. We report a case of successful fingertip reconstruction in a 10-month-old girl using a subcutaneous island flap with a composite graft. Her fingertip of the right little finger was amputated stuck by the air purifier. Some soft tissue was lost from the stump and the bone was exposed. There was a very small amputee, and soft tissue was extremely little inside. Replantation was not possible because of the soft tissue defect. The composite graft was inadequate due to the exposure of distal phalanx and defect of soft tissue. Soft tissue island flap based terminal branch of the digital artery was transposed to cover the distal phalanx. After then, the amputee was grafted over the flap. After debridement, most of the soft tissue survived and 0.2×0.2 cm of skin defect was found, which was healed through secondary intention.
- Subjects
AMPUTEES; SOFT tissue injuries; REIMPLANTATION (Surgery)
- Publication
Archives of Hand & Microsurgery, 2020, Vol 25, Issue 4, p282
- ISSN
2586-3290
- Publication type
Article
- DOI
10.12790/ahm.20.0047