Application of island flap pedicled with dorsal cutaneous branches of digital internal artery for severe thermos injury of fingers

VernacularTitle:指固有动脉背侧支岛状皮瓣修复手指热压伤
Author: Hongwei LI ; Hong SHEN ; Yongjian ZHAO
Publication Type:Journal Article
Keywords: surgical flaps; finger phalanges; thermos injury
From: Chongqing Medicine 2014;(7):803-804
CountryChina
Language:Chinese
Abstract: Objective To investigate the therapeutic effect of island flap pedicled with dorsal cutaneous branches of digital inter-nal artery for severe thermos injury of fingers .Methods From May 2008 to May 2012 ,15 fingers in 12 cases with severe thermos injury were treated with island flap pedicled with dorsal cutaneous branches of digital internal artery .The defect size ranged from 1 .5 cm × 2 .0 cm to 2 .2 cm × 3 .0 cm ,4 fingers with anterograde flap repair ,11 fingers with retrograde flap repair .Results Partial necrosis happened at the distal end of 2 island flaps ,All the other flaps survived completely .The patients were followed up for 6-12 months with satisfactory cosmetic and functional results ,cicatricial contracture around the skin graft in 3 fingers ,The two-points discrimination distance was 9-11 mm in flaps .Conclusion These flaps have the advantages of an extended skin paddle and a versa-tile pivot point on the phalanx ,and they allow coverage of wide and distal defects .