Two flaps based on the proximal and distal perforator from ulnar artery in the repair of defect of two fin-gers
10.3760/cma.j.issn.1001-2036.2017.06.002
- VernacularTitle:前臂远端与近端双尺动脉穿支皮瓣移植修复两指皮肤及软组织缺损
- Author:
Qun YAO
1
;
Yongjun RUI
;
Jingyi MI
;
Yong HUA
;
Gang ZHAO
Author Information
1. 无锡市第九人民医院骨科
- Keywords:
Perforator flaps;
Ulnar artery;
Finger injuries;
Tissue transplantation
- From:
Chinese Journal of Microsurgery
2017;40(6):525-528
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical application of the 2 flaps based on the proximal and distal perfo-rator from ulnar artery in the repair of defect of 2 fingers and evaluate the outcome of the procedures. Methods From January,2014 to January,2015, 8 cases with skin and soft tissue defects of 2 fingers were treated simultaneous-ly with the distal and proximal perforator flap of ulnar artery in ipsilateral limb. The area of the distal flaps ranged from 2.5 cm×4.5 cm to 4.0 cm×6.5 cm. The area of the proximal flaps ranged from 3.5 cm×4.5 cm to 4.5 cm×6.5 cm. The followed-up were performed at 3rd, 6th and 12th months post-operation. The patients' satisfaction of the appear-ance and function of repaired finger and working situation were investigated. The postoperatively pain prick , touch and temperature sensation of the flaps were examined. Total active range of motion (TAM) of the finger points were measured. Results All flaps survived. Two flaps got plastic surgery at 5 months post-operation. The pain , tempera-ture and light touch sensation were restored 12 months after the surgery. Five patients returned to work again 12 months after the operation. Conclusion The distal and proximal perforator flap has their own characteristics, can be used simultaneously to repair skin and soft tissue defects of the two fingers.
