Clinical application of finger soft tissue defect coverage with dosal proximal digit fatty fasciocutaneous flap
10.3760/cma.j.issn.1001-2036.2016.04.003
- VernacularTitle:近节指背筋膜蒂皮瓣修复手指皮肤缺损的临床应用
- Author:
Feiya ZHOU
;
Liangfu JIANG
;
Yonghuan SONG
;
Jinquan YANG
;
Jian DING
;
Tinggang CHU
- Publication Type:Journal Article
- Keywords:
Fasciocutaneous flap;
Soft tissue defect of fingers;
Dorsal metacarpal artery;
Dorsal digit artery
- From:
Chinese Journal of Microsurgery
2016;39(4):324-327
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the coverage of finger soft tissue defect with dorsal proximal digit fasciocutaneous flap on the middle and distal digit.Methods From May,2013 to December,2014,8 cases with soft tissue defects at 8 fingers were treated with dorsal proximal digit fasciocutaneous flap.The flap sizes ranged from 2.5 cm × 2.0 cm to 3.5 cm × 3.0 cm.The donor site were closed straightly.Results Eight flaps of 8 fingers survived.All the wounds at the donor sites healed well.Eight fingers in 8 cases were followed up for 6-12 months.The color,texture and contour of the flaps were satisfied.The two-point discrimination distances were 8-10 mm.Conclusion The skin defect in the middle and distal digit can be satisfied covered with dorsal proximal digit fasciocutaneous flap.This flap is a simple,reliable and safe management for digit defect and can be performed in the primary hospital.To ensure the surviving of the flap,ensure the surviving of the flap,the awareness of the anatomy of the flap should be known well.The limits of its reconstruction of sensation and coverage size exit in its application.
