Reconstruction of Finger Composite Defects with Perforator Free Flap from the Superficial Palmar Branch of Radial Artery

Abstract

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Address for correspondence: Dr. Alper Aksoy, Department of Plastic, Reconstructive and Aesthetic Surgery Konur Hospital, Bursa, Turkey.

E-mail: aksoya@gmail.com

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Reconstruction of Finger Composite Defects with Perforator Free Flap from the Superficial Palmar Branch of Radial Artery

Alper Aksoy, Emin Sir¹, Daghan Dagdelen², Meliha Kasapoglu Aksoy³

Department of Plastic, Reconstructive and Aesthetic Surgery Konur Hospital, ³Department of Physical Therapy and Rehabilitation University of Health Science

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Figure 1: Schematic presentation of the anatomy in the forearm.

RSP: Radial styloid process; RA: Radial artery; SPBRA: Superficial palmar branch of the radial artery; PCBMN: Palmar cutaneous branch of the median nerve; MN: Median nerve; PL: Palmaris longus tendon;

MACN: Medial antebrachial cutaneous nerve

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Figure 2: (a) 18-years-old male patient was examined after work accident 2.5 × 4.5 cm sized wound on the middle phalanx was accompanied by bone and tendon defects. (b) The size of the defect was calculated as 3 × 5cm cm after the debridement. (c) After the calculation of the defect size, approximately 3 cm × 5 cm-sized flap which contained palmaris longus tendon, and skin island was elevated. (d and e) Postoperative result 6 months after operation. Minimal bulky was noted. Active range of motion were measured as 80° at metacarpophalangeal joint, 77 at proximal interphalangeal joint, and 68 at distal interphalangeal joint

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Figure 3: (a) 28-years-old male patient, 2.5 cm × 4 cm sized defect was present on the palmar side of the right second finger. The defect was accompanied by also tendon, radial digital artery, and nerve damage.

(b and c) The flap was elevated, which contained 3 cm × 4.5 cm sized skin island together with palmar cutaneous branch of the median nerve and palmaris longus tendon. (d and e) Postoperative result 8 months after the operation. Minimal bulky was noted. Active range of motion of the finger was measured as 74° at metacarpophalangeal joint, 74 at proximal interphalangeal joint, and 64 at distal interphalangeal joint

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