Fingertips are very useful in social expression, exploration, and hand protection. Injuries affecting this part of the hand require a protective functional restoration which in multiple digital involvements requires the use of larger flap options mainly from the abdominal wall and chest wall. The use of the Atasoy flap is mainly for solitary cases. This report aims to show the successful use of the Atasoy flap to reconstruct multiple fingertip injuries. We present a right-handed adolescent male who sustained multiple fingertip injuries to the middle, ring, and little fingers, and extensor zone 1 injury of the thumb of the left hand from a milling machine accident. He had fingertip reconstruction with Atasoy flap on a single theatre session with a satisfactory outcome. Atasoy flaps which afforded the obvious advantage of replacing like with like and avoided additional wounds endeared this option to both the surgeon and the patient.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11117035PMC
http://dx.doi.org/10.60787/NMJ-63-1-133DOI Listing

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Article Synopsis
  • * The study involved 56 children who underwent the procedure, assessing complications like nail appearance and parental satisfaction over an average follow-up of 18 months.
  • * Results showed a high satisfaction rate (9.1/10), but noted complications like hook nails were common, particularly in specific injury zones; proper surgical technique is crucial for success.
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Background: Adequate soft tissue coverage following distal phalanx amputation remains challenging. The purpose of this study was to evaluate patient-reported outcomes following secondary autologous fat grafting after reconstruction of distal phalanx amputations with tissue flaps.

Methods: A retrospective review of patients who underwent autologous fat grafting to reconstructed fingertips following distal phalanx amputation with flaps from January 2018 to December 2020 was conducted.

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Modified Bilateral V-Y Rotation Advancement Flap for Coverage of Fingertip Amputations.

J Hand Surg Asian Pac Vol

December 2022

Department of Orthopedic Surgery, Kasr El Aini Hospital, Faculty of Medicine, Cairo University, Cairo, Egypt.

The use of homodigital antegrade flow flaps is an appealing option for coverage of fingertip injuries with exposed bone as it provides good padding, sensation and colour match with no need for splinting or secondary procedure for flap separation. V-Y flaps presented by Atasoy and Kutler have limited ability of distal advancement. We used two separate V flaps each based on a separate neuro-vascular bundle to allow better advancement while keeping good vascularity and sensation.

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Unlabelled: Atasoy flaps (AFs) are commonly used to reconstruct digits after fingertip injuries. However, recent literature reports that some surgeons prefer skeletal shortening and closure, presumably because the procedure can be performed in the emergency department without the risk of flap-associated complications. The purpose of the present outcome study is to evaluate patient-reported, long-term satisfaction of AF reconstructions for fingertip injuries.

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Fingertips are very useful in social expression, exploration, and hand protection. Injuries affecting this part of the hand require a protective functional restoration which in multiple digital involvements requires the use of larger flap options mainly from the abdominal wall and chest wall. The use of the Atasoy flap is mainly for solitary cases.

View Article and Find Full Text PDF

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