Dorsal foot flap transplantation for skin and soft tissue defects of the hand: survival rate and success analysis

doi:10.3969/j.issn.2095-4344.2015.29.013

Abstract

Abstract:

BACKGROUND: Skin and soft tissue defects of hands are easy to appear due to different factors, such as trauma. Flap transplantation is a clinical treatment for soft tissue defects of hands. Dorsal foot flap, which is thicker with constant vessel traveling, is very suitable for repair of hand soft tissue defects.
OBJECTIVE: To explore the success rate and survival rate of dorsal foot flap transplantation in the repair of hand skin and soft tissue defects.
METHODS: A retrospective analysis was performed on the clinical data of 86 patients with skin and soft tissue defect of hands. These patients were respectively given conventional skin wound skin grafting (control group) and dorsal foot flap transplantation (observational group). Hand appearance, infection rate, perception recovery and complications were observed during the postoperative follow-up.
RESULTS AND CONCLUSION: Skin flaps all survived after grafting, and the texture of flaps was good. Patients were satisfied with hand shape and the recovery of hand function. After flap transplantation, one patient had local skin necrosis at the donor region, and the scar healed after dressing; another patient had venous crisis, and was given vascular re-anastomosis. In the observation group, the postoperative appearance was better than that of the control group, the infection rate was lower than that of the control group, the perception recovery was better, and there were fewer complications (P < 0.05). These findings suggest that the dorsal foot flap transplantation is better to repair skin and soft tissue defects in the hand.

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

Key words: Hand , Surgical Flaps, Transplantation

CLC Number:

R318

Liang Yun-hai, Dong Ming, Liu Dong, Wen Zi-jun. Dorsal foot flap transplantation for skin and soft tissue defects of the hand: survival rate and success analysis[J]. Chinese Journal of Tissue Engineering Research, 2015, 19(29): 4657-4661.

Figures/Tables 5

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