BACKGROUND The purposes of this article are to introduce and assess the results of a long-term follow-up of using anterograde pedicle flap based on the dorsal branches of proper digital neurovascular bundles from the dorsum of the middle phalanx for the fingertip defect. METHODS Between February 2011 and December 2012, 31 patients underwent reconstruction of fingertip defects using a homodigi...

We describe a homodigital neurovascular island flap for fingertip reconstruction in children and review the appearance and function of the reconstructed fingertips. Eleven children, with a mean age of 4 years (range: 2-7),who had sustained a fingertip injury with total or subtotal pulp loss were treated with a homodigital neurovascular island flap between 2007 and 2009. The flaps were harvested...

Thumb pulp defects require adequate reconstruction for satisfactory sensate function and aesthetic appearance. We report a reconstructive case using neurovascular island flap raised from the ulnar side of middle finger tactile thumb pad defect. The was elevated as modified version conventional heterodigital in order to restore sensation without “double-sensibility” phenomenon. digital nerve sec...

Permanent fecal abdominal stomas significantly decrease quality of life. Previous attempts to create continent stomas by using dynamic myoplasty procedures have resulted in disappointing outcomes, primarily owing to denervation atrophy of the muscle flap that was used in the creation of the sphincter and because of muscle fatigue resulting from continuous electrical stimulation that is received...

This study reports five cases of crush-avulsion injury to the thumb at different levels presented at our plastic and hand surgery unit between 2005 and 2007. All of the patients were male labors with machine injuries to the thumb with non-replantable amputations. Distal phalanx or proximal phalanx, or both, were used as a free cortical bone graft. The amputated part was skeletonized keeping the...