The reversed homodigital island flap: About 28 cases

Aims. - The purpose of the study is to evaluate the coverage of the distal tissue defect of long fingers using reversed homodigital island flap and comparison with other flaps. Patients and method. - It was a retrospective study of 28 cases of reversed homodigital island flap practiced in 28 patients to cover skin finger distal loss. The mean age was 29 years, the sex ratio was 0.17. The variety of a pedicule exclusivement vasculaire was the most used (89%). Partial necrosis of the flap was noticed only in two cases (7%). Six criteria were used to evaluate this coverage: the quality of the flap, the donor site, the neuroma formation, the cold intolerance, the mobility of the finger, and the satisfaction of the patient. A final score for every case was attributed. Results. - At the middle last follow-up, the results were good in 89% and average in 11%. Conclusion. - The reversed homodigital island flap is a safe method offering multiple advantages and constitutes an interesting alternative in front of the distal tissue defect of the long finger. 2010 (C) Elsevier Masson SAS. All rights reserved.