指掌侧软组织缺损的动脉化静脉游离鱼际皮瓣。
Flow-through arterialized venous free thenar flaps for palmar soft tissue defects in fingers.
机构信息
Trauma Center, Shanghai General Hospital, 56694Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.
出版信息
J Int Med Res. 2021 Feb;49(2):300060521991032. doi: 10.1177/0300060521991032.
OBJECTIVE
To evaluate the efficacy of venous free thenar flaps for reconstructing palmar soft tissue defects in fingers.
METHODS
From December 2018 to October 2019, 11 patients with palmar soft tissue defects in fingers were treated using venous free thenar flaps. At the final follow-up, the range of thumb radial and palmar abduction on the injured side and opposite side was calculated. The total active movement (TAM) of the injured and opposite fingers and flap sensibility recovery were also recorded.
RESULTS
The mean follow-up time was 13.4 months, all flaps survived, and all wounds at the donor sites healed with no skin necrosis. At the last follow-up, the average range of thumb radial abduction and thumb palmar abduction on the injured side was 96.6% and 95.9% of the value on the opposite side, respectively. The average TAM of the injured fingers was 98.2% of the value of the opposite fingers. Sensation in the flaps was restored to grade S2 to S3.
CONCLUSION
Venous free thenar flaps can be alternatives for reconstructing palmar soft tissue defects in fingers.
目的
评估静脉游离大鱼际皮瓣修复手指掌侧软组织缺损的疗效。
方法
2018 年 12 月至 2019 年 10 月，采用静脉游离大鱼际皮瓣治疗 11 例手指掌侧软组织缺损患者。末次随访时，计算患侧和对侧拇指桡侧和掌侧外展范围。记录患指和对侧手指的总主动活动度（TAM）和皮瓣感觉恢复情况。
结果
平均随访时间为 13.4 个月，所有皮瓣均存活，供区创面均一期愈合，无皮肤坏死。末次随访时，患侧拇指桡侧外展和掌侧外展平均范围分别为对侧的 96.6%和 95.9%。患指 TAM 平均为对侧的 98.2%。皮瓣感觉恢复至 S2-S3 级。
结论
静脉游离大鱼际皮瓣可作为修复手指掌侧软组织缺损的一种选择。
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