Application of feet wrist branch perforators flap transplantation free re-pair of hand skin soft tissue defect / 中国现代医生

ABSTRACT

Objective To explore feet wrist of artery perforators flap free transplantation repairing skin and soft tissure defect of hands. Methods From January 2012 to October 2013 in our hospital ,selected 19 cases of hand skin soft tis-sue defect in the patients with ulnar artery wrist free perforators flap transplant , blood vessels by end to end anasto-mosis method. Results In 19 patients with postoperative flaps all survived, and after follow-up, the appearance of the skin flap, texture and color are satisfied, finger function and sensation recovery are satisfied, two-point discrimination 8~17 mm,the average 9 points to distinguish sleep <10 mm,flap sensation recovery S3 class above,for area feel no ef-fect on daily work and life. Finger function evaluation criteria:15 cases were best,3 cases were better, and 1 case was poor, fine rate was 94.7%. Conclusion Wrist branch perforators flap repair of hand skin soft tissue defect free trans-plantation effect is remarkable,patient tolerance degree is high,the fingers feel and function recovered well,does not affect the hand appearance,worth clinical promotion use.