An improved technique for repairing hand defects with abdominal pedicled flaps.
- Author:
Shu-run HUANG
1
;
Xiao-yi LI
;
Hao WANG
;
Jiang-tao LIU
Author Information
- Publication Type:Journal Article
- MeSH: Abdominal Wall; Adolescent; Adult; Burns; surgery; Child; Female; Hand Injuries; surgery; Humans; Male; Middle Aged; Reconstructive Surgical Procedures; methods; Soft Tissue Injuries; surgery; Surgical Flaps; Young Adult
- From: Journal of Southern Medical University 2011;31(10):1771-1773
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the feasibility a modified method for repairing hand soft tissue defects using abdominal pedicle flaps.
METHODSBetween January 1997 and October 2010, abdominal pedicle flaps were used to repair hand soft tissue defects in 108 cases. A strategy of segmented skin-flap ligations was adopted for early pedicle cut-off with early separation of the combined fingers, donor site closure with auxiliary flaps and application of thin flap and full-thickness skin graft.
RESULTSLigation of the pedicle site only was performed in 68 cases with an average time of pedicle cut-off of 10 days. Pedicle cut-off and separation of the combined fingers were simultaneously performed in 40 cases without flap necrosis. The healing rate of the donor sites reached 96.8%.
CONCLUSIONThe method is simple, safe and reliable and allows simultaneous pedicle cut-off and separation of the combined fingers to ensure good functional and appearance recovery of the hand with soft tissue defect.
