Clinical application of perforator flap in cubital fossa to repair skin defect in fingers
10.3760/cma.j.issn.1001-2036.2014.06.004
- VernacularTitle:肘窝部穿支皮瓣移植修复手指皮肤缺损的临床应用
- Author:
Qian WANG
;
Guangjun LIU
;
Qi TAN
;
Zhen LI
;
Jianli WANG
- Publication Type:Journal Article
- Keywords:
Cubital fossa;
Radial artery;
Perforator flap;
Finger;
Repair
- From:
Chinese Journal of Microsurgery
2014;(6):531-534
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the clinical application and evaluate the effect of repairing finger injuries using the perforator flap in forearm cubital fossa.Methods From July,2012 to December,2013,8 cases of finger injuries with totaled defect area of 2.5 cm × 4.0 cm-5.5 cm × 7.0 cm were reviewed.Among them,6 cases had phalangeal fracture,7 cases had neurovascular injury and 4 cases combined with tendon injuries.Cubital fossa flaps based on the inferior cubital perforator of radial artery were transplanted to repair the defects.Results All of the 8 flaps survived.One of them experienced distal end necrosis of epidermis and 1 cm long wound dehiscence.But it was healed by dressing change.All of the 8 cases were followed up for an average of 11 months (range,6-20 months).Sensory quality of （S） + was present in all of the flaps with two-point discrimination ranging between 7.5 mm and 9.8 mm with an average of 8.5 mm.All flaps were seen with good appearance,texture and colour.Moreover,function and appearance in donor sites were satisfactory.Conclusion The perforator flap in forearm cubital fossa is a satisfying choice in repairing small skin defects in fingers and other paas in that it is fixed,easy to dissect and leaves small injuries in targeted area.
