Dorsal turnover adipo-fascial homo-digital flap, a versatile coverage solution for exposed fingers' dorsum
Saad, Ahmed Samy Mousa, Mohammed I Moiemen, Naiem S Elhadidy, Mostafa Elready, Ahmed Arafat Ahmed Gouda, Mahmoud Elsayed Abdelgawad, Belal Ahmed Hemidan, Ahmed Gamal Abdel-Wahed, Mohamed Saad, Ahmed Samy
Saad, Ahmed Samy
Mousa, Mohammed I
Moiemen, Naiem S
Elhadidy, Mostafa
Elready, Ahmed Arafat Ahmed
Gouda, Mahmoud Elsayed
Abdelgawad, Belal Ahmed
Hemidan, Ahmed Gamal
Abdel-Wahed, Mohamed
Saad, Ahmed Samy
Abstract
A cohort of eleven patients, presenting with fifteen fingers exhibiting soft tissue loss subsequent to trauma or burns, was included in this study. The defects ranged from 20 to 45 mm in length and appeared at various anatomical sites on the dorsal aspect of the fingers. Coverage of exposed structures was achieved utilizing a local dorsal turnover adipo-fascial flap. Soft-tissue coverage was successfully obtained in all cases (n=15). Minor distal partial flap necrosis developed in 20% of procedures (n=3), which was managed effectively with conservative treatment. Partial split-thickness skin graft (STSG) loss occurred in cases with minor flap necrosis and in one additional instance, resulting in an overall incidence of 27% (n=4). All affected areas resolved without requiring secondary grafting. In summary, the dorsal turnover adipo-fascial flap serves as a technically straightforward reconstructive option, yielding satisfactory soft-tissue coverage and aesthetic results within this series. Although some distal flap-related complications occurred, they were limited and managed with conservative measures.
MIDER Authors
Affiliations
Ahl Masr Burns Hospital; Cairo University; El Helmeya Military Hospital; Egypt College of Medicine and Health; University of Birmingham; University Hospitals Birmingham NHS Foundation Trust; Zagazig University; Sheikh Zayed Specialized Hospital
Date
2026-06-24
Type
Article
Collections
Citation
Saad AS, Mousa MI, Moiemen NS, Elhadidy M, Elready AAA, Gouda ME, Abdelgawad BA, Hemidan AG, Abdel-Wahed M, Saad AS. Dorsal turnover adipo-fascial homo-digital flap, a versatile coverage solution for exposed fingers' dorsum. J Burn Care Res. 2026 Jun 24:irag106. doi: 10.1093/jbcr/irag106. Epub ahead of print.