Emergency repair of severe complex defect in forearm by transplantation of free flap and functional reconstruction
- VernacularTitle:前臂严重复合组织缺损的急诊修复与一期功能重建
- Author:
Shu-Jian HOU
;
Guo-Liang CHENG
;
Guang-Rong FANG
;
Zhen-Jun WANG
;
Le-Tian SUN
;
Xu HE
;
Hong-Xun ZHANG
;
- Publication Type:Journal Article
- Keywords:
Forearm;
Flap;
Compound flap;
Transplantation
- From:
Chinese Journal of Microsurgery
2006;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To report the outcome of emergency repair of severe complex defect in forearm by transplantation of free flap and simultaneous functional reconstruction.Methods From Mar.1994 to Aug.2003,4 cases with severe complex defect in forearm was repaired by transplantation of free skin flap, free skin flap combined with fibula flap,or fibula osteocutaneous flap in emergency.Simultaneously the flexion and extension function were repaired by muscle transfer and/or tendon grafting,tenonectomy.Results All the cases were successful.Follow-up period ranged from 1 to 3 years postoperatively.The blood-supply,tex- ture and elasticity of transferred flaps were excellent with good bone healing.Opposition of thumb with four fin- gers was good.Sensory recovery of the hand was satisfactory.Conclusion Transplantation of free flap com- bined with simultaneous functional reconstruction is an ideal method in emergency repair of severe complex de- fect in forearm.
