Reconstruction of extensive soft-tissue defects at the upper extremities using the pre-expanded paraumbilical perforator flaps
10.3760/cma.j.issn.1009-4598.2016.03.007
- VernacularTitle:预扩张脐旁穿支皮瓣修复上肢大面积皮肤软组织缺损
- Author:
Shan ZHU
1
;
Yuanbo LIU
;
Mengqing ZANG
;
Bo CHEN
;
Qiang DING
;
Jianhua ZHANG
;
Longcan LIU
Author Information
1. 中国医学科学院整形外科医院整形十一科
- Keywords:
Perforator flaps;
Soft tissue expansion;
Upper extremity;
Defect
- From:
Chinese Journal of Plastic Surgery
2016;32(3):186-190
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility and technique of reconstruction of extensive softtissue defects at upper extremities using the pre-expanded paraumbilical perforator (PUP) flaps.Methods Pre-expanded PUP flap was used to reconstruct large soft-tissue defect at the upper extremity according to the size,shape,and location of the defect in a multiple-staged procedure.Results From Sept.2009 to Sept.2015,81 patients underwent defect reconstruction using the pre-expanded PUP flaps.93 preexpanded PUP flaps were used.Unilateral flap was used in 70 patients.Bilateral flaps were used to reconstruct the circumferential forearm defects in eight patients (16 flaps).Bilateral flaps were used to reconstruct bilateral forearm defects in three patients (6 flaps).The size of the flaps ranged from 8 cm ×6 cm to 40 cm × 15 cm.Small-sized distal flap necrosis occurred in five patients after division of the proximal pedicle of the flap.The patients were followed up for 1 to 5 years (average 3.5 years) with satisfactory functional and aesthetic outcomes.Dysfunction of the shoulder and elbow joints was not noticed postoperatively.Conclusions The pre-expanded paraumbilical perforator flap provides a valuable option for different defects reconstruction at the upper extremity.
