Application dorsalis pedis flap to repair the hands of series 2 of skin and soft tissue defect
10.3760/cma.j.issn.1001-2036.2010.06.001
- VernacularTitle:足背串联皮瓣修复手部两处皮肤软组织缺损
- Author:
Jihui JU
;
Qiang ZHAO
;
Yuefei LIU
;
Cheng WEI
;
Lei LI
;
Guangzhe JIN
;
Jianning LI
;
Xinyi LIU
;
Guoping ZOU
;
Ruixing HOU
- Publication Type:Journal Article
- Keywords:
Hand;
Dorsalis pedis flaps;
Transplantation;
Microsurgery
- From:
Chinese Journal of Microsurgery
2010;33(6):441-443,后插3
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical effects of free dorsalis pedis flap on the repair of two skin and soft tissue defects in hand. Methods From February 2003 to February 2009, free dorsalis pedis flap was used to repair two skin and soft tissue defects in 11 patients. Six cases were males and 5 females.Two was used the hand skin and soft tissue defects in 4 cases; back of the hand skin and soft tissue defect with the middle finger proximal palmar skin and soft tissue defect in 1 case, the hand ripped through injury to the back of the hand of the hand ripped through skin and soft tissue defects in 3 cases, were cut flap:proximal flap 3 cm× 3 cm-8 cm × 7 cm, distal flap 4 cm × 2 cm-6 cm × 5 cm. Foot for the area will adopt the lower abdominal full-thickness skin grafting. Results Uniform flap survival period of the wound healing class, foot skin graft donor sites were successfully survived. Ten patients were followed up from 6 to 19 months, with an average follow-up of 9 months. Follow-up flap fine texture, appearance of natural, nonbloated, feeling to restore S2-S3, hand function recovered satisfactorily, for the district of foot healed well without ulceration and ulcer formation,had no effect on walking function. Conclusion The dorsalis pedis flap for hand two series of skin and soft tissue defects, with design flexibility, excellent texture flaps, etc., is to repair the hand skin and soft tissue defects of the two better way.
