Utilization of a Perforator Flap for Stump Closure of the Fifth Digit

Dağhan Dağdelen, Alper Aksoy, Selami Serhat Şirvan


There is an obvious need for alternative local flaps in digital reconstruction, especially where soft‑tissue residuum is limited as in the fifth
digit. A 42‑year‑old female patient presented to our emergency room with her left fifth finger amputated at the level of the middle phalanx and
extensive second‑degree deep burn wounds in the hand dorsum and the dorsal finger after a hot‑press accident in the workplace. We would
like to share a case of fifth digit soft‑tissue reconstruction done using a perforator propeller flap based on ulnar palmar digital artery.

Tam Metin:



- Vitse J, Bekara F, Bertheuil N, Sinna R, Chaput B, Herlin C. Perforator-based propeller flaps reliability in upper extremity soft tissue reconstruction: a systematic review. J Hand Surg Eur Vol. 2017 Feb;42(2):157-164. doi: 10.1177/1753193416669262. [Epub 2016 Sep 28 ].

- Gregory H, Heitmann C, Germann G. The evolution and refinements of the distally based dorsal metacarpal artery (DMCA) flaps.

J Plast Reconstr Aesthet Surg. 2007;60(7):731-9.

-Lee DC, Kim JS, Ki SH, Roh SY, Yang JW, Chung KC. Partial second toe pulp free flap for fingertip reconstruction. Plast Reconstr Surg. 2008;121:899–90.

-Wang ZT, Sun WH. Cosmetic reconstruction of the digits in the hand by composite tissue grafting. Clin Plast Surg. 2014;41:407–27. doi: 10.1016/j.cps.2014.03.001

-Garlick JW, Goodwin IA, Wolter K, Agarwal JP. Arterialized venous flow-through flaps in the reconstruction of digital defects: case series and review of the literature. Hand (New York, NY). 2015;10(2):184-190. doi:10.1007/s11552-014-9684-0.

- Hao, Pan-Deng et al. The ulnar palmar perforator flap: Anatomical study and clinical application. J Plast Reconstr Aesthet Surg. 2014 May;67(5):600-6. doi:10.1016/j.bjps.2013.12.048

- Omokawa S, Yajima H, Inada Y, Fukui A, Tamai S. A reverse hypothenar flap for finger reconstruction. Plast Reconstr Surg. 2000;106:828–33

- Han HH, Choi YS, Kim IB, Kim SH, Jun YJ. A perforator from the ulnar artery and cutaneous nerve of the hypothenar area: An anatomical study for clinical application. Microsurgery. 2017 Jan;37(1):49-56. doi: 10.1002/micr.22463.

- Kim KS, Kim ES, Hwang JH, Lee SY. Fingertip reconstruction using the hypothenar perforator free flap. J Plast Reconstr Aesthet Surg. 2013 Sep;66(9):1263-70. doi: 10.1016/j.bjps.2013.05.006

Online ISSN:2528-8644
Basılı ISSN:1300-6878 (önceki)

Türk Plastik Rekonstrüktif ve Estetik Cerrahi Dergisi (Turk J Plast Surg),
Türk Plastik Rekonstrüktif ve Estetik Cerrahi Derneği'nin, Estetik Plastik Cerrahi Derneği'nin, Türkiye Interplast Derneği'nin ve Çene Yüz Cerrahları Derneği'nin yayın organıdır.