Repair of finger-pulp defects with modified dorsal digital fasciocutaneous flap
10.3760/cma.j.cn114453-20210204-00058
- VernacularTitle:改良指背筋膜蒂皮瓣修复指腹软组织缺损
- Author:
Hongjiu QIN
1
;
Nengfeng MA
;
Haisheng WANG
;
Tao MA
;
Min ZHANG
;
Caizhi HU
;
Lei XU
Author Information
1. 皖南医学院第一附属医院手足外科，芜湖 241000
- Keywords:
Surgical flaps;
Reconstructive surgical procedures;
Digital artery
- From:
Chinese Journal of Plastic Surgery
2021;37(2):178-182
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical outcome of the reconstruction of finger-pulp defects, using modified dorsal digital fasciocutaneous flap.Methods:Between June 2018 and March 2019, 14 patients with finger-pulp defects were admitted to the Department of Hand and Foot Surgery. There were 14 males and 2 females, aged from 27 to 63 years, with the mean age of 49 years. The defect areas of finger pulp were 1.6 cm × 1.4 cm-2.5 cm × 1.6 cm. All of the finger-pulp defects were treated by the modified dorsal digital fasciocutaneous flap and the inverted L-shaped incision was made at the distal part of the pedicle. The defects at donor sites were reconstructed with full-thickness skin grafts harvested from the forearm. Viability of the flap was recorded postoperatively. At the last follow-up, aesthetics, sensibility of the flap and hand performance were assessed.Results:All of the 14 flaps survived successfully, the areas were 1.8 cm×1.6 cm-2.7 cm×1.8 cm. Partial distal blister occurred on the flap in only one case, which was solved by aspiration without surgical intervention. All cases acquired follow-up visits for 5 to 12 months with a mean time of 8.9 months. The texture of flaps was similar to surrounding skin and the shape of reconstructed finger pulp was satisfactory. According to the assessment of total active movement, the results were excellent in 9 fingers, good in 5 fingers. The 2-point discrimination of flap was 8 to 11 mm (mean, 9.9 mm).Conclusions:It is an effective and simple method for the reconstruction of finger-pulp defects using modified dorsal digital fasciocutaneous flap. The clinical effectiveness is definite.
