Treatment of the defect on fibular hallux flap donor site with the tibial island flap of second toe
10.3760/cma.j.issn.1009-4598.2018.10.013
- VernacularTitle: 第二趾胫侧趾底动脉岛状皮瓣修复腓侧皮瓣供区
- Author:
Tinggang CHU
1
;
Tingxiang CHEN
;
Anyuan WANG
;
Damu LIN
;
Yonghuan SONG
;
Zhijie LI
;
Xinglong CHEN
;
Weiyang GAO
Author Information
1. Department of Hand and Plastic Surgery, Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325027, China
- Publication Type:Journal Article
- Keywords:
Surgical flap;
Donor morbidity;
Donor site care
- From:
Chinese Journal of Plastic Surgery
2018;34(10):841-844
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss the therapeutic effect of using tibial island flap of second toe for the treatment of fibular hallux flap donor site defect.
Methods:From March 2012 to April 2015, 18 tibial island flaps of second toe were transferred to repair donor site defect on fibular hallux that can not sutured directly, and the subsequent donor site wound on the second toe were sutured.
Results:On an average of 13 months follow-up, all 18 flaps survived with primary healing. Texture and appearance of the tibial island flaps were satisfactory; The flaps had good sensory recovery, S3+ in 14 patients and S4 in 4 patients. Severe contracture of the first toe web were not observed. The donor site of second toe got good recovery with normal activity of interphalangeal joint.
Conclusions:The tibial island flap of second toe is a good option for treatment of the defect on fibular hallux flap donor site. Meanwhile, it also meets the requirement of " donor site care" .
