Homodigital Island Flap
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Homodigital Island Flap

This Homodigital Island Flap course will teach you:

  • The Homodigital Island Flap in order to close a fingertip defect caused by trauma or excision of a lesion, while maintaining the functionality of the digit.

Special attention is paid to the following hazards you may encounter during the Homodigital Island Flap:

  • Neurovascular bundle arcade injury
  • Digital nerve injury
  • Proximal interphalangeal joint contracture
  • Compromised vascularization

With the following tips you might perform the Homodigital Island Flap even better:

  • Incision extension proximally
  • Finger stabilisation using a single prong hook
  • What to do in case of insufficient length of flap
  • Creating an aesthetically pleasing finger tip

After studying the Homodigital Island Flap you are familiar with the most common complications:

  • Flap failure
  • PIP contracture
  • Hook nail deformity

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Free Radial Forearm Flap

Step by step

Flap design

Skin

Inspect

Inspect the skin by examining and measuring the extent of the fingertip lesion.

Mark

Mark the flap on the skin, bearing in mind the extent of the lesion and that the neurovascular bundles run laterally. Note, the sensation radially is most important for the functionality of the digit and should be used for the reconstruction.

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