Beruflich Dokumente
Kultur Dokumente
Deny Hermana
Hand subdivision Department of
Orthopedic and Traumatology
UNPAD
goals of reconstruction.
Restoration of sensibility
Adequate padding
Injury-related factors
CLASSIFICATION
Vascular anatomy
Utilization
Free flap
Peninsula flap
Island flap
Component tissue
The Fascial flap including the deep
fascia and thin layer of subcutaneous
tissue
Subcutaneous flap which dissected at
sub dermal and suprafacial level, .This
show as axial pattern vascularization
Thenar
Cross finger
Dorsal metacarpal
Digital Artery Flaps
Flag Flaps
Dorsal metacarpal
Radial artery
Palmar advancement
Posterior interosseous
Lateral arm
Free Thenar
Free Radial Forearm
Lateral arm
Scapular/Parascapular
Free Toe pulp
Digital Neurovascular Island
Pollicization
"On top" Plasty
Free finger transfer
Toe flaps
Nail Flaps
Cross-finger flap
indication
Finger tip injury especially on palmar side
Finger tip injury with expose
-tendon
-neurovascular
-bone
Contraindication
Postoperative causes
Hematoma can cause pressure on the flap
and lead to necrosis.
Infection also can cause partial or
complete flap necrosis. The donor site is
another potential source of complications