Ulnar Digital Artery Perforator Flap- An Innovative Reconstructive Option for Palmar Defect Post Dupuytren’s Contracture Fasciectomy

Deepti K* and Saradha R

Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Rajasthan, India

^*Correspondance to: Deepti Katrolia 

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Abstract:

Dupuytren’s disease is a chronic, progressive fibrotic condition of palmar and digital fascia and adjacent soft tissues, the end result of which is known as Dupuytren’s contracture. There is shortening of tissues along lines of mechanical tension leading to limitation of extension of the affected digit, the most commonly affected digits being ring and little fingers. Various open surgical procedures have been described for Dupuytren’s contracture release including fasciotomy, limited fasciectomy and radical fasciectomy. In this article, we describe a preliminary case report of a patient who presented with severe Dupuytren’s contracture of right ring and little finger, in whom we performed an ulnar digital artery-based perforator flap for coverage of palmar defect post fasciotomy. There is very limited literature regarding use of this novel flap in Dupuytren’s contracture. This flap is thin, replaces like tissue with like, easily accessible within the same surgical field and technically simple.

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Cite the Article:

Deepti K, Saradha R. Ulnar Digital Artery Perforator Flap- An Innovative Reconstructive Option for Palmar Defect Post Dupuytren’s Contracture Fasciectomy. Ann Clin Case Rep. 2024; 9: 2556.