Management of vascular variation in free transplantation of posterior interosseous perforator flap
10.3760/cma.j.issn.1001-2036.2013.02.007
- VernacularTitle:游离骨间后动脉穿支皮瓣血管变异的临床处理
- Author:
Haoliang HU
;
Zhijun PAN
;
Xin WANG
;
Hong CHEN
;
Weiwen ZHANG
- Publication Type:Journal Article
- Keywords:
Posterior interosseous artery;
Perforator flap;
Hand;
Injury;
Vascular variation;
Microsurgery
- From:
Chinese Journal of Microsurgery
2013;(2):119-122
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the method and treatment outcome of vascular variation in repairing skin defect of the hand by free transplantation of posterior interosseous perforator flap.Methods Eight cases with vascular variation were adjusted flap position,two cases were repaired by single perforator flap,three cases were repaired by cutting perforator and anastomosing perforator after changing the path,three cases were repaired by designing composition leaves flap.Results Seven flaps survived,one flap partly necrosis and healed by skin-grafting,and all of the patients were followed-up 3 to 18 months.The color,texture and thickness of the flaps were satisfactory.The movements of the fingers were satisfactory.According to the hand function evaluation criteria issued by the Hand Surgery Society of the Chinese Medical Association,outcomes were rated excellent in 1 case,good in 5 cases,fair in 2 cases.The excellent and good rate was 75％.Conclusion When finding vascular variation in repairing skin defect of the hand by free transplantation of posterior interosseous perforator flap,adjust flap position,repair by single perforator flap,cutting perforator and anastomosing perforator after changing the path,or designing composition leaves flap is a good treatment option.
