Free anterolateral thigh flaps with fascia lata for repair of dorsal tendon and soft tissue defect of ophisthenar
10.3760/cma.j.issn.1001-2036.2019.02.008
- VernacularTitle:游离带阔筋膜的股前外侧皮瓣修复手背伸肌腱及软组织缺损
- Author:
Sheng XIONG
1
;
Jihui JU
;
Guangzhe JIN
;
Linfeng TANG
;
Guangliang ZHANG
;
Xiangjun LI
;
Benyuan WANG
Author Information
1. 苏州大学附属瑞华医院手外科
- Keywords:
Anterolateral thigh flap;
Fascia lata;
Opisthenar;
Soft tissue defect;
Tendon defect;
Repair
- From:
Chinese Journal of Microsurgery
2019;42(2):132-135
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the surgical technique and clinical effects of free anterolateral thigh flaps with fascia lata for repair of dorsal tendon and soft tissue defect of ophisthenar.Methods From February,2014 to July,2016,dorsal tendon and soft tissue defect of ophisthenar in 13 cases was repaired by free anterolateral thigh flaps with fascia lata.The area of soft tissue defect was 5.0 cm×6.0 cm-9.0 cm×12.0 cm.Extensor tendon defect and bone exposure occurred in all cases.The area of flap was 6.0 cm×7.0 cm-10.0 cm×13.0 cm,while the area of anterolateral thigh flap was 3.0 cm×4.0 cm-6.0 cm×8.0 cm.The regular post-operatively followed-up was performed.Results All flaps survived.The donor sites healed well without skin graft.The followed-up time was 6-36 months with the average of 13 months.The appearance of the flap was good.The color and texture of flaps was similar to the dorsal skin of ophisthenar.Three female patients who were not satisfied with the flap appearance received the revision and the results were satisfactory.The activity of finger flexion and extension was satisfactory.All patients walked well without difficulty.According to the Upper Extremity Functional Evaluation Standard set up by Hand Surgery Branch of Chinese Medical Association,the function recovery result was excellent in 8 cases,good in 4 cases,and poor in 1 case.Conclusion It is a good method to use the free anterolateral thigh flaps with fascia lata to repair of dorsal tendon and soft tissue defect of ophisthenar.
