Clinical application of lateral flaps pedicled with fingertip vascular network in repairing fingertip defects

doi:10.3877/cma.j.issn.1674-0785.2020.02.008

Abstract

Abstract:

Objective

To investigate the clinical effects of lateral fingertip flaps pedicled with fingertip vascular network in repairing fingertip defects.

Methods

From August 2013 to December 2015, 32 cases (32 fingers) of Yamano zone type I fingertip defects were repaired using lateral fingertip flaps pedicled with fingertip vascular network. The soft tissue defects ranged in size from 1.5 cm×?.0 cm to 2.5 cm×?.? cm, all of which had bone exposure or partial defect of the fingertip. The shape, sweating, two-point discrimination, and motor function of the affected finger were regularly followed after operation.

Results

All the 32 flaps survived. During a follow-up period of 1.0-1.5 years, the shape, sweating, two-point discrimination, and motor function of the affected finger recovered well.

Conclusion

Lateral fingertip flaps pedicled with fingertip vascular network is an ideal method for repair of fingertip defects because of their small trauma, simple operation, and good postoperative and long-term results.

Key words: Fingertip defect injury, Surgical flaps, Local transfer flaps, Digital artery arch

Zhijia Zhang, Manyi Cui, Debao Li, Zhenxing Sha. Clinical application of lateral flaps pedicled with fingertip vascular network in repairing fingertip defects[J]. Chinese Journal of Clinicians(Electronic Edition), 2020, 14(02): 116-119.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhlcyszz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-0785.2020.02.008

https://zhlcyszz.cma-cmc.com.cn/EN/Y2020/V14/I02/116

Figures/Tables 4

References 9

[1]	Yamano Y. Replantation of the amputated distal part of the fingers [J]. J Hand Surg Am, 1985, 10(2): 211-218.
[2]	王友华，刘瑶，吴菊, 等. 六种皮瓣修复拇指腹缺损的远期疗效观察 [J]. 中华手外科杂志, 2006, 22(3): 155-157.
[3]	潘达德，顾玉东，侍德, 等. 中华医学会手外科学会上肢部分功能评定试用标准 [J]. 中华手外科杂志, 2000, 26(3): 130-135.
[4]	王澍寰. 指端植皮的选择与晚期疗效 [J]. 中华手外科杂志, 1993, 9(2): 67-69.
[5]	钟世镇，王增涛，王一兵, 等. 显微外科临床解剖学图谱 [M]. 2版. 济南: 山东科学技术出版社, 2009: 253-255.
[6]	丁自海，王增涛. 手外科解剖学图鉴 [M]. 济南: 山东科学技术出版社, 2007: 123-124.
[7]	钱俊，芮永军，糜菁熠, 等. 手指侧方远端岛状皮瓣修复指端缺损 [J]. 中华手外科杂志, 2018, 34(4): 257-258.
[8]	崔满意，王培吉. 应用手指末节指动脉弓为血管蒂的侧方皮瓣修复指端缺损 [J]. 中华手外科杂志, 2018, 34(1): 57-58.
[9]	许新伟，丁伟国，朱孜冠, 等. 指动脉终末背侧支皮瓣修复同指末节侧方及背侧缺损 [J]. 中华手外科杂志, 2017, 33(4): 316-317.

[1]	Xidan Wang, Yingru Li, Ping Lin, Weihua Xu, Tiantian Xu. Application of high frequency color Doppler ultrasound combined with infrared thermography in preoperative navigation of lobulated anterolateral thigh perforator flap transfer [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2022, 19(03): 238-243.
[2]	Mai Zhang, Dajiang Song, Yonglin Zhang, Yumei Fu, Xiaodie Xu, Zhihua Tan, Shu Liu. Autologous breast reconstruction for defect repair of chest wall after breast phyllodes tumor surgery [J]. Chinese Journal of Breast Disease(Electronic Edition), 2023, 17(03): 163-166.
[3]	Jianhuai He, ShiJian Yi, XianMing Wang, Fang Zhu, Dajiang Song, Zan Li, Hongbo Qu. Lateral thoracodorsal fasciocutaneous flap for repairing local defects in lateral breast quadrant [J]. Chinese Journal of Breast Disease(Electronic Edition), 2022, 16(03): 155-159.
[4]	Jiapeng Huang, Yaqiang Zhuang, Tao Zhou, Yiming Cao, Defei Wei, Qingmei Shi. Application of free dermal fat graft in breast conserving surgery [J]. Chinese Journal of Breast Disease(Electronic Edition), 2021, 15(02): 77-81.
[5]	Hao Zhang, Wanfu Zhang, Fei Han, Lin Tong, Yunwei Wang, Shaohui Li, Yang Chen, Peng Cao, Hao Guan. Clinical advances in free tissue flaps for the treatment of wounds without anastomotic vessels or requiring difficult anastomotic vessels [J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2023, 18(05): 442-446.
[6]	Haihua Huang, Zeyong Wu, Xiufeng Chen, Xiaofang Li, Yucang Shi, Shuhao Xu, Qizhi Luo, Suijiang Wang, Yuesheng Huang. Pedicled medial sural artery or combined posterior tibial artery multiple perforator flap for the repair of lower leg wound [J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2022, 17(06): 496-501.
[7]	Yanfu Han, Ran Tao, Xuemei Du. Clinical observation of surgical resection and local advancement flap repair of the postoperative chronic refractory incision [J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2022, 17(03): 237-241.
[8]	Zairong Wei, Chenglan Yang, Lingli Jiang. Surgical flap: an effective method for severe electrical burn wound repair [J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2022, 17(02): 100-105.
[9]	Wanfu Zhang, Jing Xu, Fei Han, Xiaolong Hu, Shaohui Li, Zebing Yuan, Dahai Hu, Juntao Han, Hao Guan. Application of interlaced local skin flaps combined with autologous medium-thickness skin grafting in the repair of joint scar contracture [J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2021, 16(01): 34-38.
[10]	Lei Liu, Yanni Wang, Jing Yu, Zhimin Liu, Hongyan Qi. Application of enhanced CT and three-dimensional imaging in repairing secondary wounds after resection of body surface masses in children with expanded flaps [J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2020, 15(04): 297-302.
[11]	Shengtao Xiang, Linglong Zhao, Xuejun Yu, Wen Zheng, Yunsheng Teng, Gaofeng Liang, Wei An, Xiaoqiang Shi, Wanfu Zhang, Shaohui Li. Comparison of efficacy of free iliac bone flap combined with medial plantar flap and free anterolateral thigh flap combined with fibula flap in the repair of tibial row defect of forefoot [J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2020, 15(04): 281-286.
[12]	Yuming Shen. Burn surgeons should further strengthen the study of skin flap [J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2020, 15(04): 275-280.
[13]	Xiaoning Yu, Jiechen Cai, Xiaohong Chen. The effect of flap and flapless surgery on the outcomes of implant treatment: A Meta analysis [J]. Chinese Journal of Stomatological Research(Electronic Edition), 2022, 16(06): 370-377.
[14]	Yanchi Tang, Bo Yang. Clinical observation of buccal facial artery flap for reconstruction of oral and maxillofacial defects [J]. Chinese Journal of Stomatological Research(Electronic Edition), 2021, 15(02): 98-102.
[15]	Gonglin Zhang, Zhiju Feng, Fugui Shi, Jiandong Wang, Ruxiang He, Jun Hu, Ping Sun, Xiaotai Yue, Wenxue Zhao, Weishi Wang. Delayed pedicled deep inferior epigastric perforator flap transfer to repair large forearm soft tissue defects [J]. Chinese Journal of Clinicians(Electronic Edition), 2020, 14(09): 700-703.

Please choose a citation manager

Content to export