Toe pulp free flap to repair defects in the clinical application of the fingers

VernacularTitle:趾部游离皮瓣修复指腹缺损的临床应用
Author: Jiachuan ZHUANG ; Minjiao LI ; Lefeng CHEN ; Guorong CHEN ; Geng WU ; Jianwen LIAO ; Zhenwei ZHANG
Publication Type:Journal Article
Keywords: Finger pulp; Toe pulp flaps; Transplantation; Microsurgery
From: Chinese Journal of Microsurgery 2010;33(3):197-199,后插2
CountryChina
Language:Chinese
Abstract: Objective To evaluate the toe flap repair of finger pulp defect of the clinical effects.Methods Of finger pulp defect using the first or second toe in 25 cases of free flaps, the flaps were cut size of 2.0 cm x 3.0 cm-3.5 cm x 4.5 cm, to toe at the end of artery-means the artery, subcutaneous veins-ve-nous anastomosis reconstruction of dorsal skin flap blood circulation, plantar digital nerve-refers to the inherent sensory nerve reconstruction.Results Twenty-five patients with flaps all survived, after vascular crisis occurred in 2 cases,surgical exploration and re-anastomosis of vascular survival, 3 months after flap reconstructive surgery in 12 cases.All patients were followed up for 2 months to 2 years, an average of 10 months,the fingers were satisfied with function and appearance, pulp full, two- point discrimination was 4-6 mm.Conclusion The toe plantar free flap repair of finger pulp defect may be a better clinical effects.