Reconstruction of the soft tissue defects of limbs using the free thoracodorsal artery perforator flaps
10.3760/cma.j.issn.1001-2036.2018.03.010
- VernacularTitle:游离胸背动脉穿支皮瓣在四肢创面修复中的临床应用
- Author:
Danya ZHOU
1
;
Jiadong PAN
;
Ruibin HU
;
Xin WANG
;
Yaopeng HUANG
;
Hong CHEN
Author Information
1. 宁波市第六医院整复外科
- Keywords:
Thoracodorsal artery perforator flap;
Polyfoliate flap;
Limbs;
Soft tissue defect;
Transplantation
- From:
Chinese Journal of Microsurgery
2018;41(3):243-246
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effects of reparing the complicated soft tissue defects of limbs with free thoracodorsal artery perforator (TDAP) flaps.Methods From April,2009 to March,2014,19 limbs (including 8 upper limbs and 11 lower limbs) soft tissue defects with bone and tendon exposure were repaired with free TDAP flaps in the secondary stage.There were 12 thoracodorsal artery perforator flaps,5 polyfoliate perforator flaps,1 chimeric muscle flap,and 1 chimeric muscle polyfoliate flap.The sizes of the flaps ranged from 5.0 cm×6.0cm-20.0 cm×l 1.0 cm.Seventeen wounds of the dornor site were closed directly,and the other 2 were closed with skin grafts.Results Sixteen flaps survived successfully.Two flaps had venous congestion and survived at last after taking the stitches out.One flap had partial necrosis and repaired by skin graft finally.The clinical results were satisfactory after 12-18 months following-up,and the scars of the dornor sites of all but 3 patients were not obvious.All the shoulder function were normal.Conclusion The TDAP flap has dependable blood supply,good texture,less dornor site morbility.The polyfoliate TDAP flap can be used for repairing irregular defect.The chimeric latissimus TDAP flap can be used for the function reconstruction.The free TDAP flap is suited for repairing soft tissue defects of the limbs.
