Free posterior interosseous artery perforator flap combined with muscle fascia for repairing composite tissue defect of hand
10.3969/j.issn.1673-9701.2023.34.012
- VernacularTitle:游离骨间后动脉穿支皮瓣结合肌肉筋膜修复手部复合组织缺损
- Author:
Yi LI
1
;
Haoliang HU
;
Xiaofeng WANG
;
Miao YU
;
Yingling ZHOU
;
Chenlin LU
Author Information
1. 宁波市第六医院手外科,浙江宁波 315040
- Keywords:
Perforator flap;
Posterior interosseous artery;
Hand injury;
Extensor tendon
- From:
China Modern Doctor
2023;61(34):44-47
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of free posterior interosseous artery perforator flap combined with muscle fascia for repairing soft tissue and extensor tendon defect of hand.Methods Fifteen cases of hand skin soft tissue and extensor tendon defect admitted to Ningbo No.6 Hospital from December 2017 to December 2020 were repaired with free posterior interosseous artery perforator flap combined with extensor carpi ulnaris muscle fascia transplantation,and curative effect was observed.Results All flaps survived and patients were followed up for 6-24 months.The texture and thickness of the flap were satisfactory,and the recovery of the finger extension and flexion function were good.The excellent and good rate of hand tendon repair was 66.7%.In three cases with nerve anastomosis,the skin flap sensation recovered to S3.Conclusion The free posterior interosseous artery perforator flap combined with muscle fascia has a good clinical effect in repairing hand skin soft tissue and tendon defect.
