Dorsal thumb rotated single pedical reverse island flap repaired thumb tip defect
10.3760/cma.j.issn.1008-6706.2017.12.029
- VernacularTitle:单蒂旋转拇指背侧逆行岛状皮瓣修复指端缺损
- Author:
Yanmao ZHANG
;
Huiren LIU
;
Zhanyong YU
;
Ruihong ZHANG
;
Yugang CHEN
;
Rutao SUN
;
Jianhua LIU
;
Xueqiang WU
;
Yan WANG
;
Li WANG
- Keywords:
Hang injuries;
Surgical;
Microsurgery
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(12):1862-1865
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the outcomes of thumb reconstruction with dorsal thumb rotated single pedicel reverse island flap.Methods 49 thumb-tip defects cases with dorsal thumb rotated single pedicel reverse island flap were analyzed retrospectively.37 dorsal thumb reverse island flap were performed,and 12 ulnar-dorsal reverse island flaps were performed.Results The operation time was 40-60 minutes.The mean time was 45 minutes.All 49 cases survived completely.The color of the flaps was purple,and blisters in the surface of the flaps after 1-2 days in 2 cases.After took out stitches partly,the blisters were dried and crusted,the color of the flaps with better blood circulation was normal.The follow-up period was 3-24 months,all thumbs had satisfactory appearances and functions.The two-point discrimination was 6-9mm in flaps inosculated with nerve,that was 8-10 mm in flaps inosculated without nerve.The color,texture and elasticity of flaps were excellent,and the donor sites had not been defected.Conclusion Dorsal thumb rotated single pedicel reverse island flap is a reliable option to restore function as well as appearance,long vascular pedicle with skin strap,wide rotation angle,high rate of survival.It avoided damages to the well-known arteries and nerves.It is a relatively facile procedure that can be applied toward resurfacing thumb tip defects.
