Repair of finger pulp defect with free second toe pulp flap anastomosed with palmar vein
10.3760/cma.j.cn441206-20200130-00030
- VernacularTitle:吻合掌侧静脉的游离第2足趾趾腹皮瓣修复手指指腹缺损
- Author:
Xiaolei XIU
1
;
Hang YU
;
Wenli CHANG
;
Ning ZHANG
;
Tong LI
;
Xuelei ZHANG
;
Guangxian CHEN
;
Hongfei WANG
;
Jianyong ZHAO
Author Information
1. 河北省沧州中西医结合医院 手显微外一科，河北 沧州 061001
- From:
Chinese Journal of Microsurgery
2020;43(3):254-256
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore a surgical procedure of reconstruction finger pulp defect with free toes plantar flap with vascular anastomosis of toe-finger artery and plantar-palmar vein of finger.Methods:From April, 2018 to November, 2019, 15 patients with finger pulp defect were repaired by transplantation of the second toe pulp. In the procedure, the plantar vein of the toe and palmar vein of the finger were anastomosed. The artery and nerve of the toe and finger were anastomosed. The flap size was 0.8 cm×0.5 cm-1.0 cm×1.2 cm. The donor site was primary closed without deformity and other complication.Results:All flaps survived without vascular crisis. The mean followed-up period was 5.7 (range 3-9) months. The flaps had good blood flow, soft texture and good elasticity. Three months after surgery, touch sensation was partly recovered in some patients, and while pain was partly recovered in some patients 4-6 months after surgery. There was no deformity and other complication in the donor site. The donor sites of the foot had good appearance and normal walking function.Conclusion:The free toe plantar flap anastomosed with palmar vein can repair the digital pulp defect without dissecting the dorsal vein of digital (toe), and the donor sites can be primary sutured without deformity and other complications. The surgery operation is simple with satisfactory clinical effect.
