Reconstruction of the Fingertip Defect with a Free Radial Artery Superficial Palmar Branch Flap and Iliac Bone Graft

Lee,  Junsang; Park,  Hyun Sik; Whang,  Jong Ick

doi:2019.24.4.376

Arch Hand Microsurg > Volume 24(4); 2019 > Article

Original Article

Archives of Hand and Microsurgery 2019;24(4):376-380.
Published online December 1, 2019.
DOI: https://doi.org/10.12790/ahm.2019.24.4.376

Reconstruction of the Fingertip Defect with a Free Radial Artery Superficial Palmar Branch Flap and Iliac Bone Graft

Junsang Lee¹, Hyun Sik Park², Jong Ick Whang¹

¹Department of Plastic and Reconstructive Surgery, Institute of Hand and Microsurgery, Duson Hospital, Ansan, Korea. junsang9180@gmail.com
²Department of Orthopedic Surgery, Institute of Hand and Microsurgery, Duson Hospital, Ansan, Korea.

Received: 21 August 2019 • Revised: 17 September 2019 • Accepted: 19 September 2019

Abstract

Fingertip injury occurs due to various causes. Trauma is the most common cause, and most cases are accompanied by bone defects as well as skin and soft tissue defects. When soft tissue and bone defects occur at the fingertip, it is necessary not only to cover the soft tissue defects but also to reconstruct the bones to ensure stability of the fingertip. The authors performed a free radial artery superficial palmar branch flap and iliac bone grafts in patients with soft tissue and bone defects at the fingertip, with satisfactory results. A literature review was also conducted.

Key Words: Free flap, Graft, Injury