Application of plantar medial thin skin flaps preserving plantar fascia with its superficial fascia tissue to repair skin defects in hands and feet.
10.7507/1002-1892.202309050
- Author:
Jian ZHOU
1
;
Yucen ZHENG
1
;
Shune XIAO
1
;
Zairong WEI
1
;
Kaiyu NIE
1
;
Zhiyuan LIU
1
;
Shusen CHANG
1
;
Wenhu JIN
1
;
Wei CHEN
1
Author Information
1. Department of Plastic Surgery and Burns, the Affiliated Hospital of Zunyi Medical University, Zunyi Guizhou, 563003, P. R. China.
- Publication Type:Journal Article
- Keywords:
Plantar medial thin skin flap;
fascial tissue;
foot;
hand;
plantar fascia;
skin wound repair
- MeSH:
Male;
Female;
Humans;
Adult;
Plastic Surgery Procedures;
Subcutaneous Tissue/surgery*;
Soft Tissue Injuries/surgery*;
Skin Transplantation;
Fascia;
Free Tissue Flaps;
Treatment Outcome;
Perforator Flap
- From:
Chinese Journal of Reparative and Reconstructive Surgery
2023;37(12):1501-1504
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the feasibility and effectiveness of plantar medial thin skin flaps preserving plantar fascia with its superficial fascia tissue to repair skin defects in hands and feet.
METHODS:Between July 2017 and January 2023, 35 cases of hand and foot defects were repaired with plantar medial thin skin flaps preserving plantar fascia with its superficial fascia tissue (13 pedicled flaps and 22 free flaps). There were 18 males and 17 females, with an average age of 38.8 years (range, 8-56 years). Thirty cases of defects were caused by trauma, and the interval between injury and admission ranged from 2 to 6 hours (mean, 3.3 hours). Three cases were ulcer wounds with a course of 3.0, 3.8, and 7.0 months, respectively. Two cases were malignant melanoma. Eight cases of wounds located in the fingers, 13 cases in the palm, 12 cases in the heel, and 2 cases in the distal foot. The size of skin defects ranged from 4.0 cm×3.5 cm to 12.0 cm×10.0 cm, and the size of flap ranged from 5.0 cm×4.5 cm to 13.0 cm×11.0 cm. The donor sites were repaired with skin grafts.
RESULTS:All flaps were survived and the wounds healed by first intention after operation. The partial necrosis at the edge of the skin graft occurred in 1 case, which healed after dressing change; the other skin grafts survived successfully. All patients were followed up 6-24 months (mean, 18 months). The flaps exhibited similar color and thickness to the surrounding hand and foot skin. Two-point discrimination ranged from 7 to 10 mm in the flaps with an average of 8 mm. The donor sites had no painful scars or sensory abnormalities. Foot and ankle functions were good and gaits were normal.
CONCLUSION:Application of plantar medial thin skin flaps preserving plantar fascia with its superficial fascia tissue to repair skin defects in hands and feet had good flap shape, high survival rate of skin graft at the donor site, and no obvious complications.
