REPAIRING WOUND OF HAND BY DIGITAL ARTERIAL FLAP WITHOUT DIGITAL NERVE: A RPORT OF 30 CASES
- VernacularTitle:保留指神经的指动脉皮瓣修复手部创面(附30例报告)
- Author:
Chunlin HOU
- Publication Type:Journal Article
- Keywords:
digital arterial flap;
wound;
hand
- From:
Academic Journal of Second Military Medical University
1982;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Small to moderate-sized wounds of the hand were resurfaced in one stage by digital arterial flaps from the lateral surgace of the near by digit in 30 Cases. The flaps included only the digital arteries and small venules in their pedicles in 15 cases, preserving digital nerve intact in the donor digit.Wounds of the fingertips were repaired by transferring digital arterial flaps with a dorsal branch of the digital nerve so that the sense of the flap was preserved and the sensory loss of the donor digit was minimized in 16 cases. Excellent results were obtained in all. This technique minimizes the sensory loss of the donor digit. The lengthy pedicle allows an arc of coverage over the palm and dorsum of hand and adjacent digits. The procedure is simpler and safer than microsurgical flap transfer. The treatment period is slhoter and the outward appearance and function are better as compared with traditional tube-pedicle grafts or cross-digiti flaps.
