Anatomical research and clinical application of multistage advancement in dorsal finger V-Y flap
Objective: To investigate the anatomical basis and clinical efficiency of the advancement distance in dorsal digital V-Y advancement flap. Materials and methods: Thirty-four fingers in 11 fresh adult hand specimen were selected, V-Y flap was performed with the digital artery as vascular pedicle,...
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| Language: | English |
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Medical Journals Sweden
2024-10-01
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| Series: | Journal of Plastic Surgery and Hand Surgery |
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| Online Access: | https://medicaljournalssweden.se/JPHS/article/view/41373 |
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| author | Qiu Shenqiang Wang Zengtao Chen Jingguo Zhang Di Sun Jun Kou Wei Hao Liwen Xu Lanwei |
| author_facet | Qiu Shenqiang Wang Zengtao Chen Jingguo Zhang Di Sun Jun Kou Wei Hao Liwen Xu Lanwei |
| author_sort | Qiu Shenqiang |
| collection | DOAJ |
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Objective: To investigate the anatomical basis and clinical efficiency of the advancement distance in dorsal digital V-Y advancement flap.
Materials and methods: Thirty-four fingers in 11 fresh adult hand specimen were selected, V-Y flap was performed with the digital artery as vascular pedicle, and the advancement distance was measured. The relationship between the distance and extensibility of skin, sliding degree of subcutaneous superficial fascia, angular displacement of digital arterial dorsal branch, elasticity of digital artery was discussed. Two cases were provided to demonstrate the feasibility and importance of this flap.
Results: In the dorsal digital V-Y advancement flap simulated on fresh adult hand specimens, the mean advance distance of the middle segment flap and proximal segment flap is 18 ± 0.8 mm and 34 ± 1.7 mm, respectively, and the maximum can reach 24 and 45 mm, respectively. Two cases of dorsal digital V-Y advancement flaps were designed and performed in the dorsal side of the ring finger middle segment and the thumb proximal segment, respectively. The advancement distances were 25 and 26 mm, respectively. All flaps survived completely and the incisions healed by first intention. The flap texture was good, the affected finger was symmetrical, and the activity and sensation restored well.
Conclusion: The dorsal digital V-Y advancement flap with the digital artery as the main vascular pedicle can exert four factors for advancement effect, and significantly increase the advancement distance. The operation is simple, the blood supply is reliable, and the postoperative sensation is normal. It is an ideal flap for repairing the digital dorsal defect.
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| format | Article |
| id | doaj-art-9da712dcb09d485eb60c46360200bf47 |
| institution | Kabale University |
| issn | 2000-6764 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Journal of Plastic Surgery and Hand Surgery |
| spelling | doaj-art-9da712dcb09d485eb60c46360200bf472025-08-25T11:16:41ZengMedical Journals SwedenJournal of Plastic Surgery and Hand Surgery2000-67642024-10-015910.2340/jphs.v59.41373Anatomical research and clinical application of multistage advancement in dorsal finger V-Y flapQiu Shenqiang0Wang Zengtao1Chen Jingguo2Zhang Di3Sun Jun4Kou Wei5Hao Liwen6Xu Lanwei7Department of Hand, Foot and Micro Reconstruction Surgery, Provincial Hospital of Shandong First Medical University, Jinan, Shandong, 250021, ChinaDepartment of Hand, Foot and Micro Reconstruction Surgery, Provincial Hospital of Shandong First Medical University, Jinan, Shandong, 250021, ChinaDepartment of Orthopaedic Surgery, Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050051, ChinaDepartment of Hand, Foot and Micro Reconstruction Surgery, Provincial Hospital of Shandong First Medical University, Jinan, Shandong, 250021, ChinaDepartment of Hand, Foot and Micro Reconstruction Surgery, Provincial Hospital of Shandong First Medical University, Jinan, Shandong, 250021, ChinaDepartment of Hand, Foot and Micro Reconstruction Surgery, Provincial Hospital of Shandong First Medical University, Jinan, Shandong, 250021, China; Department of Hand and Foot Surgery, Guang’anmen Hospital Jinan China Academy of Chinese Medical Sciences, Jinan, Shandong, 250021, ChinaDepartment of Hand, Foot and Micro Reconstruction Surgery, Provincial Hospital of Shandong First Medical University, Jinan, Shandong, 250021, ChinaDepartment of Hand, Foot and Micro Reconstruction Surgery, Provincial Hospital of Shandong First Medical University, Jinan, Shandong, 250021, China Objective: To investigate the anatomical basis and clinical efficiency of the advancement distance in dorsal digital V-Y advancement flap. Materials and methods: Thirty-four fingers in 11 fresh adult hand specimen were selected, V-Y flap was performed with the digital artery as vascular pedicle, and the advancement distance was measured. The relationship between the distance and extensibility of skin, sliding degree of subcutaneous superficial fascia, angular displacement of digital arterial dorsal branch, elasticity of digital artery was discussed. Two cases were provided to demonstrate the feasibility and importance of this flap. Results: In the dorsal digital V-Y advancement flap simulated on fresh adult hand specimens, the mean advance distance of the middle segment flap and proximal segment flap is 18 ± 0.8 mm and 34 ± 1.7 mm, respectively, and the maximum can reach 24 and 45 mm, respectively. Two cases of dorsal digital V-Y advancement flaps were designed and performed in the dorsal side of the ring finger middle segment and the thumb proximal segment, respectively. The advancement distances were 25 and 26 mm, respectively. All flaps survived completely and the incisions healed by first intention. The flap texture was good, the affected finger was symmetrical, and the activity and sensation restored well. Conclusion: The dorsal digital V-Y advancement flap with the digital artery as the main vascular pedicle can exert four factors for advancement effect, and significantly increase the advancement distance. The operation is simple, the blood supply is reliable, and the postoperative sensation is normal. It is an ideal flap for repairing the digital dorsal defect. https://medicaljournalssweden.se/JPHS/article/view/41373Dorsal digital V-Y advancement flapadvancement distancedigital artery |
| spellingShingle | Qiu Shenqiang Wang Zengtao Chen Jingguo Zhang Di Sun Jun Kou Wei Hao Liwen Xu Lanwei Anatomical research and clinical application of multistage advancement in dorsal finger V-Y flap Journal of Plastic Surgery and Hand Surgery Dorsal digital V-Y advancement flap advancement distance digital artery |
| title | Anatomical research and clinical application of multistage advancement in dorsal finger V-Y flap |
| title_full | Anatomical research and clinical application of multistage advancement in dorsal finger V-Y flap |
| title_fullStr | Anatomical research and clinical application of multistage advancement in dorsal finger V-Y flap |
| title_full_unstemmed | Anatomical research and clinical application of multistage advancement in dorsal finger V-Y flap |
| title_short | Anatomical research and clinical application of multistage advancement in dorsal finger V-Y flap |
| title_sort | anatomical research and clinical application of multistage advancement in dorsal finger v y flap |
| topic | Dorsal digital V-Y advancement flap advancement distance digital artery |
| url | https://medicaljournalssweden.se/JPHS/article/view/41373 |
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