Distally Based Flexor Digitorum Superficialis (FDS) Slip Flap as a Vascularized Alternative to Double-Loop Tendon Grafting in A4 Pulley Reconstruction

The modified FDS slip flap provides functional outcomes comparable to traditional grafting techniques while eliminating the need for donor site harvesting. Its vascularized design, anatomic replication of the native A4 pulley, and operative simplicity make it a valuable reconstructive option in acute injuries with pulley loss.

Authors

Ahmet Kağan Karabulut (ORCID: https://orcid.org/0000-0002-9635-8829)
Hande Akdeniz (ORCID: https://orcid.org/0000-0001-5763-3157)
Zekeriya Tosun (ORCID: https://orcid.org/0000-0002-3987-8748)
Oğuz Eker (ORCID: https://orcid.org/0000-0003-2215-3553)
Gokce Yildiran
Oguz Kagan Kocak

Institutions

Selçuk University (TR)

Publication Details

Journal: Annals of Plastic Surgery
Published: 2026-03-27
DOI: https://doi.org/10.1097/sap.0000000000004734
Primary Topic: Orthopedic Surgery and Rehabilitation
Type: article
Field-Weighted Citation Impact: 0.00

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article

Distally Based Flexor Digitorum Superficialis (FDS) Slip Flap as a Vascularized Alternative to Double-Loop Tendon Grafting in A4 Pulley Reconstruction

Ahmet Kağan Karabulut, Hande Akdeniz, Zekeriya Tosun, Oğuz Eker et al.

Mar 27, 2026

Annals of Plastic Surgery

Orthopedic Surgery and Rehabilitation

article

Distally Based Flexor Digitorum Superficialis (FDS) Slip Flap as a Vascularized Alternative to Double-Loop Tendon Grafting in A4 Pulley Reconstruction

Ahmet Kağan Karabulut, Hande Akdeniz, Zekeriya Tosun, Oğuz Eker, Gokce Yildiran, Oguz Kagan Kocak

March 27, 2026article en

Abstract

The modified FDS slip flap provides functional outcomes comparable to traditional grafting techniques while eliminating the need for donor site harvesting. Its vascularized design, anatomic replication of the native A4 pulley, and operative simplicity make it a valuable reconstructive option in acute injuries with pulley loss.

Annals of Plastic Surgery

Selçuk University (TR)

Openalex Percentile: Top 4%

Orthopedic Surgery and Rehabilitation

DOI Source OpenAlex

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