Treatment of soft tissue defects at the dorsum of hand by retrograde island neurocutaneous flap pedicled with lateral antebrachial cutaneous nerve.
- Author:
Jie QI
1
;
Wen LI
;
Yan-Jie LIU
;
Wei-Hai SU
;
Li-Jian LIN
;
Jian-hong LIANG
;
Yao LIU
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Female; Follow-Up Studies; Forearm; surgery; Hand Injuries; surgery; Humans; Male; Middle Aged; Skin Transplantation; Soft Tissue Injuries; surgery; Surgical Flaps; blood supply; innervation; Treatment Outcome; Young Adult
- From: Chinese Journal of Plastic Surgery 2010;26(4):241-243
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo report the therapeutic effect of retrograde island neurocutaneous flap pedicled with lateral antebrachial cutaneous nerve for the treatment of soft tissue defect at the dorsum of hand.
METHODS11 cases with soft tissue defects at the dorsum of hands were treated. The size of soft tissue defects ranged from 3.0 cm x 2.5 cm to 6.5 cm x 4.0 cm. The size of the flaps ranged from 3.5 cm x 3. 0 cm to 7. 0 cm x 4. 0 cm.
RESULTSAll the 11 flaps survived. The follow-up period was 2 months to 2 years. The texture and elasticity of the flaps were good. The appearance and function of the hands were satisfactory. The superficial sense was recovered. The wounds at the donor site of forearms were closed primarily in 7 cases, or covered by split-thickness skin grafts in other 4 cases. The appearance of the donor site was satisfactory too.
CONCLUSIONSThe retrograde island neurovascular flap pedicled with lateral antebrachial cutaneous nerve is an optimal method for soft tissue defects at the dorsum of hand.
