Radial artery pedigreed conjoined perforator flap repair cross-joint long-shaped skin and soft tissue defects in fingers
10.3760/cma.j.issn.1001-2036.2018.01.011
- VernacularTitle:桡动脉蒂联体穿支游离皮瓣修复手指跨节长条形皮肤软组织缺损
- Author:
Jiyong JIANG
1
;
Ben'gang QIN
;
Qinghong WANG
;
Deqing ZENG
;
Chunbin YU
;
Wenjing LU
;
Shaokai ZHONG
;
Pei LI
Author Information
1. 广东医科大学茶山医院/东莞市茶山医院手外科
- Keywords:
Radial artery;
Perforator;
Perforator flap;
conjoined;
Finger defect;
Repair
- From:
Chinese Journal of Microsurgery
2018;41(1):44-48
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the method and clinical effect of radial artery pedigreed conjoined perfora-tor flap for repairing cross-joint long-shaped skin and soft tissue defects in fingers. Methods From June, 2015 to June,2017,six patients with cross-joint long-shaped skin and soft tissue defects of the fingers were treated with radial artery pedigreed conjoined flap which axis was the artery superficial line, and carried two radial artery perforators, in order to enlarge flap cut range to repair.The size of flaps ranged from 3.0 cm ×6.0 cm to 3.5 cm ×7.5 cm.The donor site was directly sutured. After operation, all patients were followed up for 3 to 8 months. All the necessary parts are observed, such as the flaps appearances, textures, the donor sites, checked the flap sensation, activity functions of the fingers. Results Six cases of flap all survived.The wounds healed well(phase I),and all patients were followed up for 3 to 8 months, with an average of 5 months. All the flaps do not obviously bloat, the textures were soft,the colors are normal,the appearances of flaps were similar to recipient sites. The donor sites healed well only with linear scars. Conclusion Using radial artery pedigreed conjoined perforator flap to repair cross-joint long-shaped skins and soft tissue defects in fingers that it not only can enlarge the cut range but also cut conveniently, the textures are close to recipient sites.Therefore,it is an ideal repair way.
