Clinical application of medial plantar venous flap for repairing great toenail flap donor site
10.3760/cma.j.cn114453-20211027-00421
- VernacularTitle:足底内侧静脉皮瓣修复 甲瓣供区的临床应用
- Author:
Shiyu ZOU
1
;
Kelie WANG
;
Chunsheng XIAO
;
Yizhi ZHANG
;
Pinkun CHEN
;
Lizhen DAI
;
Yanjun YANG
;
Ziqing ZHANG
Author Information
1. 深圳市龙岗区骨科医院手外科，深圳 518116
- Keywords:
Surgical flaps;
Medial plantar flap;
Venous flap;
Donor area of great toenail flap;
Wound repair
- From:
Chinese Journal of Plastic Surgery
2023;39(5):496-501
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical efficacy and feasibility of applying a medial plantar vein flap to repair the great toenail flap donor site.Methods:A retrospective analysis was performed on the clinical data of patients who underwent great toenail flap or partial great toenail flap transplantation for finger reconstruction from January 2020 to June 2021 in Longgang Orthopedic Hospital of Shenzhen. During the operation, the donor site of the great toenail flap was repaired with medial plantar venous flaps, and the donor site of the medial plantar venous flaps was repaired with a free full-thickness skin graft. The survival of the flap was observed and the appearance, sensation, and complications of the flap were followed up. The foot function was evaluated by the Maryland foot function evaluation standard.Results:A total of 6 cases were enrolled, including 5 males and 1 female with an average of 22 years, ranged from 14-28 years old. The wound area of the great toenail flap was 2.2 cm×3.7 cm-5.5 cm×7.0 cm, and the skin flap was 2.5 cm×3.8 cm-5.5 cm×7.1 cm. All flaps survived. 2 cases developed tension blisters. All patients were followed up for 3-18 months, with an average of 9 months. And all flaps had no swollen appearance, good color, texture, and no ulcers or pain. Two-point discrimination was 7-10 mm, and the second/third donor area was concealed. According to the Maryland foot function evaluation standard, all 6 cases were rated as excellent.Conclusion:The application of the medial plantar vein flap to repair the donor area of the great toenail flap is an effective repair method. The donor area is concealed, the flap is not bloated, the texture is good, the survival rate is high, and the sensation recovered satisfactory.
