Application of KISS anterolateral thigh flap in repairing soft tissue defect of dorsal side of multiple fingers
10.3760/cma.j.issn.1001-2036.2020.01.010
- VernacularTitle:股前外侧KISS皮瓣修复多个手指背侧软组织缺损
- Author:
Chun WU
1
;
Zhengli WANG
;
Li TAN
;
Bendong DAI
;
Xiaojian PAN
Author Information
1. 台州市博爱医院手显微外科，浙江 台州 318050
- From:
Chinese Journal of Microsurgery
2020;43(1):37-41
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the surgical technique and clinical effect of free KISS anterolateral thigh flap in repairing soft tissue defect of dorsal side of fingers.Methods:From January, 2014 to June, 2019, 7 patients with soft tissue defects in dorsal side of multiple fingers were treated. Step one, a KISS anterolateral thigh flap was used and a temporary syndactyly between adjacent affected fingers was created by suture of the digital palmar skin. The donor sites were sutured directly. Step two, a procedure of partial de-bulking and division of syndactyly was followed-up 1-3 months later. All cases were followed-up in observations of appearance, texture, functions and donor site of flaps.Results:All flaps survived, and all went through disorders of no blood circulation. The followed-up time were 3 to 24 (average 12.5) months. The flaps had fine appearance, texture and colour. The dorsal aspects of reconstructed fingers demonstrated an aesthetically pleasing effect after the flap de-bulking and division of syndactyly. The donor site only left a linear scar, and the thigh had no functional deficit.Conclusion:Free KISS anterolateral thigh flap in repairing defects of dorsal skin in multiple fingers could simplify the operation, shorten operative time and reduce surgical trauma.
