Journal of Japanese Society of Reconstructive Microsurgery
Online ISSN : 2185-9949
Print ISSN : 0916-4936
ISSN-L : 2185-9949
Original Article
Donor-site Morbidity after Finger Reconstruction with Wrap-around Flap
Akira KOMADAToru SUNAGAWAOsami SUZUKIKazunori YOKOTAYuko NAKASHIMAYutaka KADONISHIKurando NAKASAKIShin OHTSUBOMisa NAKANISHIAkihiro NAKABAYASHIMitsuo OCHI
Author information
JOURNAL RESTRICTED ACCESS

2011 Volume 24 Issue 4 Pages 407-411

Details
Abstract

 Wrap-around flap transfer provides good aesthetic results and sufficient functional recovery of an amputated thumb. However, this technique partially preserves the great toe and causes morbidities at the donor site, including skin erosion, pain, and poor aesthetic appearance. This study examined the incidence of donor-site complications after wrap-around flap transfer.
 We reviewed 28 patients (18 men and 10 women) who underwent wrap-around flap transfer between 1982 and 2008. The average age was 24.9 years. The mean duration of follow-up was 52.0 months. The donor defect was reconstructed using a cross-toe flap in 14 cases, reverse metatarsal artery flap in 2, peroneal flap in 3, skin graft in 4, and artificial skin graft in 3. In 2 patients, the donor defect could be closed without any grafts.
 Donor-site complaints and satisfaction were assessed by a questionnaire in 16 cases. All of them could walk more than 2 km without stopping. Seven of them could not wear thongs. Three had pain; 4, numbness; and 9, cold intolerance. Most patients were satisfied with the outcome, and some of them were not satisfied with the donor-site recovery because of skin erosion, cold intolerance, and poor aesthetic appearance.

Content from these authors
© 2011 Japanese Society of Reconstructive Microsurgery
Previous article Next article
feedback
Top