Digital replantation by Flow-through flap from the fibular side of great toe

doi:10.3969/j.issn.2095-4344.2014.46.009

Abstract

Abstract:

BACKGROUND: The severity of tissue injury varies with the causes of the amputated finger. Simple soft tissue, vessels or nerves injury could be easily repaired by adjacent finger flap or abdominal flaps. However, these treatments are short of long repair time, reoperation and unsatisfactory appearance of the finger.

OBJECTIVE: To investigate the efficiency of Flow-through flap from the fibular side of great toe to repair skin and soft tissue defects in digital replantation.

METHODS: From January 2011 to October 2013, Flow-through flap from the fibular side of great toe was applied to repair soft tissue injury in digital replantation for 11 cases (8 males and 3 females, age ranged from 23 to 42 years. Skin defects ranged from 2.0 cm ×1.5 cm to 4.0 cm×2.2 cm; vascular defect ranged from 1-3 cm, 1.5 cm averagely; and the flap size ranged from 2.2 cm×1.7 cm to 4.5 cm×2.5 cm.

RESULTS AND CONCLUSION: The follow-up time of all patients was 6-18 months. Digital replantation was successful in all the 11 cases. Ten cases were healed by first intention, and one case was gradually rescued after dressing change. Patients were satisfied with the flap and the peripheral sensation. The peripheral discrimination of patients was 4 to 10 mm. The fingers functioned well in flexion and extension. Of the 11 cases, 9 cases were valued excellent and 2 cases was rated as good, according to the upper extremity function evaluation standard of the Hand Surgey Branch of Chinese Medical Association. Flow-through flap from the fibular side of great toe is an ideal method to repair skin soft tissue and vascular defects in digital replantation.

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

全文链接：

Key words: surgical flaps, transplantation, upper extremity, soft tissue injuries

CLC Number:

R318

Luo Deng-ke, Pan Zhen-yu, Cheng Ke-ke, Yu Ai-xi. Digital replantation by Flow-through flap from the fibular side of great toe [J]. Chinese Journal of Tissue Engineering Research, 2014, 18(46): 7422-7426.

Figures/Tables 2

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