The sensation recovery of superficial palmar branch of the radial artery flap with palmar branch of median nerve and donor site
10.3760/cma.j.issn.1001-2036.2018.05.008
- VernacularTitle:携带正中神经掌皮支的游离桡动脉掌浅支皮瓣修复指损伤感觉恢复的评价
- Author:
Cunmin RONG
1
;
Yinlong LI
;
Fang WANG
;
Baoqiang XU
;
Qinglin ZHANG
;
Zhi ZHANG
;
Hongjun WANG
;
Qingluan HAN
Author Information
1. 济宁医学院附属医院手足外科
- Keywords:
Superficial palmar branch of radial artery flap;
Palmar branch of median nerve;
Figer;
Sensation reconstruction
- From:
Chinese Journal of Microsurgery
2018;41(5):446-449
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the sen sation recovery of superficial palmar branc h of the radial artery flap with palmar branch of median nerve and donor si te. Methods From January, 2014 to June, 2016, 12 cases of finger soft tissue defects were repaired with sup erficial palmar branch of the radial artery flap with palmar branch of median nerve. The 2 g tactile sensation, 5 g pain sen sation, 30 g pressure sensation and static two-point discrimination (S2 -PD) of the flap was tested regularly. The S2 -PD of the palmar cutaneous branch of the median nerve were recorded respectively on the affected side and the unaffected side. The results were applied comparative t-test to perform statistical analysis, to observe the sensory recovery of the flap and donor site. Results The flaps survived.Twelve cases was followed-up for 6-18 mont hs. The pressure sensation of about 83.3％ of patients recovered after 2 months and 100％ of patients recovered after 3 months. The tactile sensation of about 91.7％ of patients recovered after 3 months and 100％ of patients recovered after 4 months. The pain sensation of about 91.7％ of patients recovered after 4 months of and 100％ of patients recovered after 5 months. S2-PD of the flap was the average of 8.3 mm in 6 months after operation. There were no significant differences in the S2-PD between the affected group [(12.08±2.15)mm] and unaffected group [(10.58±2.11)mm](P>0.05). And the sensory recovery of the control area of the palmar branch of the median nerve was S4 in 2 cases, S3+ in 9 cases, and S3 in 1 case. The sensory recovery was good. Conclusion Superficial palmar branch of the radial artery flap with palmar branch of median nerve can be used repair the skin defect of the fingers. The flap has a good sensery recovery, and the sensation of the donor area is gradually restored.
