Repair of fingertip defect with lateral V-Y advancement flap with one side palmar proper digital artery: Report of 27 cases
10.3760/cma.j.cn441206-20220416-00075
- VernacularTitle:带一侧指掌侧固有动脉的侧方V-Y推进皮瓣修复指端缺损27例
- Author:
Zhiqiang MA
1
;
Xiaoqiang CHEN
;
Junguo LIU
;
Xiangju FAN
;
Xinzhan ZHANG
;
Yipeng ZHANG
;
Jian LI
;
Xiuqiao ZHU
Author Information
1. 济宁市第三人民医院（济宁市兖州区人民医院）手足外科，山东 济宁 272100
- Keywords:
Palmar proper digital artery;
V-Y advancement flap;
Fingertip defect;
Microsurgical technique
- From:
Chinese Journal of Microsurgery
2022;45(5):498-503
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the method and effect in repairing the defect of fingertip with lateral V-Y advancement flap with one side palmar proper digital artery.Methods:From October 2014 to May 2019, Department of the Hand and Foot Surgery, the Third People's Hospital of Jining(Yanzhou District People's Hospital of Jining City) treated 34 digits of 27 cases with a defect area of 0.5 cm×0.5 cm-1.5 cm×2.0 cm. A lateral V-Y advancement flap with one side palmar proper artery was used to repair the fingertip defect, and the flap size was 1.7 cm×1.0 cm-4.5 cm×1.5 cm. Twenty cases entered long-time follow-up after operation, with 7 cases lost in follow-up, 16 cases were reviewed at outpatient and 4 by WeChat.Results:All the flaps of 34 digits of 27 cases survived. The color of the flaps were close to or completely normal to the surrounding tissue, the texture was soft and the appearance was good. The TPD of the flap was 2.0-6.0 mm. The follow-up time ranged from 22 to 77 months, with an average of 31.45 months. The flexion and extension function of the digits were good with total range of motion(ROM) of the thumb was > 90 °; total active motion (TAM) of the fingers was 260 °-200 °. The fingers of 1 case had hook nail or hook finger deformity. According to the Evaluation Trial Standard of Upper Limb Partial Function of Hand Surgery of Chinese Medical Association, 18 cases were excellent and 2 cases were good.Conclusion:The lateral V-Y advancement flap with one side palmar proper digital artery is easy to operate. The blood supply of the flap is reliable, with good sensation. The flexion and extension of the digits are good, and the appearance and texture of the flap are good.
