Arch Hand Microsurg 2019; 24(1): 74-78  
Early Flap Detachment of Heterodigital Island Flaps
Jung Hoon Lee1,2, Jin Yong Shin1,2, Si-Gyun Roh1,2, Suk Choo Chang1,2, Nae-Ho Lee1,2
1Department of Plastic and Reconstructive Surgery, Chonbuk National University Medical School, Jeonju, Korea, 2Research Institute of Clinical Medicine of Chonbuk National University, Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea
Correspondence to: Jin Yong Shin
Department of Plastic and Reconstructive Surgery, Chonbuk National University Hospital, 20 Geonji-ro, Deokjin-gu, Jeonju 54907, Korea
TEL: +82-63-250-1860, FAX: +82-63-250-1866, E-mail: psjyshin@gmail.com
Received: October 22, 2018; Revised: December 18, 2018; Accepted: December 28, 2018; Published online: March 1, 2019.
© Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Many surgical techniques for the reconstruction of fingertip injuries and soft tissue defect have been described depending on the type of injuries. Heterodigital island flap is useful for the repair of various fingertip injuries. Although usually surgical detachment procedures have been performed about 14 postoperative days (POD), we introduce early detachment technique as an effective surgical method. Twenty-three cases undergone a heterodigital island flap from 2013 to 2017 were included in this study. Among them in 10 cases undergone flap detachment between 7 to 10 POD. After detachment, flap survived with no severe complications. Patient’s mean hospital days from day of surgery to discharge were shortend.
Keywords: Heterodigital island flap, Fingertip injury, Early flap detachment


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