The use of a free dorsal forearm mini-osteo-cutaneous flap to repair the bone and soft tissue defect of the finger
- VernacularTitle:前臂背侧微型骨皮瓣游离移植修复手指复合组织缺损
- Author:
Shufeng WANG
;
Pengcheng LI
;
Jian LU
- Publication Type:Journal Article
- Keywords:
Surgical flaps;
Transplantation;
Finger injuries;
Treatment outcome
- From:
Chinese Journal of Orthopaedics
1996;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical results of free dorsal forearm mini-osteo-cutaneous flap to repair the bone and soft tissue defect of finger. Methods The mini-osteo-cutaneous flap pedicled on the osteo-cutaneous branch of dorsal branch of anterior interosseous artery was designed on the radial side of the distal dorsal forearm along the connective line between the Lister's tubercle and the lateral epicondyle of the humerus, the point of the cutaneous branch of dorsal branch of anterior interosseous artery entry the skin was about 3.5 cm proximal to the Lister's tubercle. The dimensions of the osteo-cutaneous-flap were planned according to the defect of recipient. The incision begins along the ulnar board of the flap and the septum between the extensor pollicis brevis muscle and the extensor pollicis longus muscle was exposed, the osteo-cutaneous branch of dorsal branch of anterior interosseous artery was indentified, then the cutaneous flap and osteo-flap was raised respectively, the osteo-cutaneous branch was dissected deeply to the origin and sectioned, the donor site was closed directly. The vascular pedicle of the osteo-cutaneous flap was anastomosed with the digital artery and dorsal vein respectively. From Jul. 1999 to Jan. 2005, 7 fingers of 7 males suffered bone and soft tissue defect with the average of 25 years old ranging from 18 to 37 years old were performed. Results All the 7 free mini-osteo-cutaneous flaps were survived completely, the dimensions of the cutaneous-flap and osteo-flap were 2.5 cm ? 3.0 cm to 4.5 cm ? 3.5 cm, 2.5 cm ? 1.0 cm to 3.5 cm ? 1.2 cm respectively. The osteo-flap was united with recipient bone 2 to 3 months after the transplantation and the donor site was closed by direct suture without tension, the appearance of the reconstructed finger by mini-osteo-cutaneous flap was perfect. Conclusion The free dorsal forearm mini-osteo-cutaneous flap pedicled on the osteo-cutaneous branch of dorsal branch of anterior interosseous artery was one of the optimal flap to reconstruct bone and soft tissue defect of the finger.
