Repair finger with the second digit lateral shank flap through free transplantation of lateral defect
10.3760/cma.j.issn.1673-4904.2015.10.008
- VernacularTitle:第二足趾胫侧游离皮瓣修复指掌侧皮肤缺损的临床评估
- Author:
Da LI
;
Sen DENG
- Publication Type:Journal Article
- Keywords:
Reconstructive surgical procedures;
Surgical flaps;
Cutaneous deficiency
- From:
Chinese Journal of Postgraduates of Medicine
2015;38(10):730-733
- CountryChina
- Language:Chinese
-
Abstract:
Objective To introduce an ideal method of repairing of finger volar skin defect. Methods Thirty-five patients whose finger was repaired by second digit lateral shank flap through free transplantation of lateral defect were selected. Twenty-four cases were male and 11 cases were female, with age of 21 to 45 years old. Cutting injury was in 7 cases, crush injury was in 16 cases, degloving injury was in 9 cases, and firearm injury was in 3 cases. Skin defect area was 2.0 cm × 1.5 cm-4.0 cm ×2.5 cm. The course was 1 h to 5 d. Donor area was repaired by thick skin flap. Results The postoperative wound of 35 cases all healed in stage Ⅰ, and skin flap transplantation and the donor skin grafts survived. Twenty-nine cases received follow-up for 5-26 (14.5±5.0) months. The skin flap had good appearance and good texture, with two points discrimination of 5-8 (6.7±1.1) mm. According to the Chinese medical association upper part of the function evaluation trial standard: excellent was in 19 fingers, good was in 8 fingers, and the excellent and good rate was 93.1% (27/29). Walk, run, jump functions of donor foot were normal. Conclusions Repairing finger with the second digit lateral shank flap through free transplantation of lateral defect has small area damage, and damage to the area around the organization is small. The effect of repairing is good, and can achieve the aim of the palm side repairing.
