The perforator-based axial adipofascial turnover flap combined with juncturae tendinum grafting for complex dorsal phalangeal defects - Takeaways - MDSpire
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Utilizing a perforator-based axial adipofascial turnover flap alongside juncturae tendinum grafting for intricate dorsal phalangeal reconstructions

  • By

  • Kadri Ozer

  • October 2, 2026

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  • 1

    Hand trauma accounts for approximately 20% of unintended injuries treated in emergency departments.

  • 2

    Dorsal finger defects with tendon and soft tissue loss require individualized reconstruction planning.

  • 3

    The study presents a protocol combining tendon reconstruction and soft-tissue coverage in one operative stage.

  • 4

    A Type 3 juncturae tendinum is utilized for tendon reconstruction, ensuring reliable grafting.

  • 5

    The adipofascial arterial turnover flap is based on predictable vascular anatomy for effective coverage.

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