Reconstruction of infective ulcer wouds in dorsal fingers of the elderly patients with free peroneal artery perforator flap
10.3760/cma.j.cn441206-20240701-00163
- VernacularTitle:应用游离腓动脉穿支皮瓣修复老年患者指背感染性溃疡创面
- Author:
Wei ZHANG
1
;
Gaofeng LIANG
1
;
Zonghai JIA
1
;
Zhongyu JIA
1
;
Manying ZHANG
1
;
Chaopeng DUAN
1
;
Yunsheng TENG
1
;
Yongming GUO
1
Author Information
1. 兵器工业总医院手外一科，西安 710065
- Publication Type:Journal Article
- Keywords:
Perforator flap of peroneal artery;
Elderly;
Dorsal finger;
Infective ulcer;
Reconstruction
- From:
Chinese Journal of Microsurgery
2025;48(1):45-49
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate a surgical method and clinical effect on reconstruction of infective ulcer and soft tissue defects in dorsal fingers of the elderly patients with free perforator flap of peroneal artery.Methods:From March 2016 to June 2022, 13 elderly patients with infective ulcer and soft tissue defects in dorsal fingers were reconstructed with free perforator flaps of peroneal artery. The patients were 65-70 years with an average age of 66.5 years. Cause of infection: 10 ulceration and soft tissue defects were caused by diabetes and 3 by injury. Seven infective ulceration and soft tissue defects were in dorsal index fingers, 3 in dorsal middle fingers and 3 in dorsal ring fingers with the size of soft tissue defects at 2.0 cm×4.5 cm-2.0 cm×5.5 cm with an exposure of tendon and phalange. The donor site of the flaps was of contralateral calf and the flaps were 2.5 cm×5.0 cm-2.5 cm×6.0 cm in size. All donor sites were sutured directly. All patients were included in the postoperative follow-up at outpatient clinic to observe the appearance and sensation of the flap as well as finger movement.Results:All flaps survived and all wounds achieved stage I healing, without recurrence of infection. Twelve patients had the postoperative follow-up for 12 to 27 months, with an average of 21.6 months. There were satisfactory appearance of flaps and the function of fingers. Sensation of flaps recovered to S 2 in 5 patients and S 3 in 7 patients. The recovery of hand function was evaluated according to the Evaluation Trial Standards of Upper Limb Partial Functional of Hand Surgery of Chinese Medical Association, with 8 hands in excellent and 4 in good. Conclusion:The free perforator flap of peroneal artery has advantages of constant vascular anatomy, reliable blood supply, moderate thickness and direct closure of donor site. It is a useful clinical method in reconstruction of infective ulcer and soft tissue defects in dorsal fingers of the elderly patients.
