Free basilic vein flap with sensory nerve for repair of pulp defect of digits
10.3760/cma.j.cn441206-20210422-00110
- VernacularTitle:携带感觉神经的游离贵要静脉皮瓣移植修复指腹缺损26例
- Author:
Yaopeng HUANG
1
;
Shanqing YIN
;
Xianting ZHOU
;
Jiadong PAN
;
Xin WANG
Author Information
1. 宁波市第六医院手外科，浙江 宁波 315040
- Keywords:
Venous flap;
Sensory flap;
Basilic vein;
Pulp;
Soft tissue defect;
Repair
- From:
Chinese Journal of Microsurgery
2021;44(6):613-616
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of free basilic vein flap with sensory nerve in repair of digit pulp defect.Methods:From August, 2017 to December, 2020, 26 thumb and finger pulp defects were repaired with free basilic vein flap with sensory nerve. There were 23 defects of digit pulp, and 3 combined with dorsal soft tissue defect. The sizes of defect area of 11 thumbs and 15 fingers were 3.0 cm×2.0 cm-5.0 cm×3.5 cm. The size of flap was 3.5 cm×2.5 cm-5.5 cm×4.5 cm. All of the digit defects were repaired with free basilic vein flap carrying sensory nerve at the medial side of proximal forearm. All donor sites at forearm were directly sutured. All patients entered follow-up by clinic visit by telephone appointment. The appearance of the flaps was good with satisfactory texture, good pinching and well recovered sensation.Results:All 26 flaps survived in the 3-28 months(13 months in average) of follow-up. The TPD was 6-8 mm (6.8 mm in average). Only linear scars left at the donor sites without obvious discomfort, except 3 cases having in minor bloating. The bloated flaps were repaired 3 months after the primary surgery, and achieved more satisfactory appearances.Conclusion:Free basilic vein flap with sensory nerve is an ideal method to repair defect of digit pulp, especially in the digit pulp composite tissue defect combined with vessel and nerve defect.
