Reconstruction of multiple digital defects by temporary syndactylization using a lateral arm free flap

Background Soft tissue defects of the multiple finger present challenges to reconstruction surgeons. Here we introduce the use of a lateral arm free flap and syndactylization for the coverage of multiple finger soft tissue defects. Methods This retrospective study was conducted based on reviews of the medical records of 13 patients with multiple soft tissue defects of fingers (n=33) that underwent temporary syndactylization with a microvascular lateral arm flap for temporary syndactylization from January 2010 to December 2020. Surgical and functional outcomes, times of flap division, complications, and demographic data were analyzed. Results Middle fingers were most frequently affected, followed by ring and index fingers. Mean patient age was 43.58 years. The 13 patients had suffered 10 traumas, 2 thermal burns, and one scar contracture. Release of temporary syndactyly was performed 3 to 9 weeks after syndactylization. All flaps survived, but partial necrosis occurred in one patient, who required a local transposition flap after syndactylization release. The mean follow-up was 15.8 months. Conclusion Coverage of multiple finger defects by temporary syndactylization using a free lateral arm flap with subsequent division offers an alternative treatment option.

Alternative title
Coverage with temporary syndactylization
Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Reconstruction of multiple digital defects by temporary syndactylization using a lateral arm free flap ; day:07 ; month:09 ; year:2022
Archives of Plastic Surgery ; (07.09.2022)

Contributor
Ki, Sae Hwi
Park, Tae Jun
YOON, JINMYUNG
Choi, Seung Suk
Hong, Min ki

DOI
10.1055/a-1938-0691
URN
urn:nbn:de:101:1-2022111710083401504543
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:26 AM CEST

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Associated

  • Ki, Sae Hwi
  • Park, Tae Jun
  • YOON, JINMYUNG
  • Choi, Seung Suk
  • Hong, Min ki

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