Reconstruction of phalangeal defect with free mesio-forearm flap based on perforator of ulnar artery / 中华整形外科杂志
Chinese Journal of Plastic Surgery
;
(6): 321-324, 2010.
Article
in Chinese
| WPRIM
| ID: wpr-268685
ABSTRACT
<p><b>OBJECTIVE</b>To discuss the therapeutic effect and clinical experience of a new technique of digital reconstruction with the free mesio-forearm flap based on perforator of ulnar artery.</p><p><b>METHODS</b>We marked the line from the pisiformis to the condylus medialis humeri as the axis of the flap. We used Doppler to detect the site of the mesio-forearm ulnar perforator which is usually 9-10 cm proximal to the condylus medialis humeri as center of the flap. We designed the flap that contained perforator artery with its accompanying vein of the ulnar artery and a superficial vein around the center spot along the axis of ulnar artery. The wound at donor site was sutured directly. Neurorrhaphy was not conducted in any cases.</p><p><b>RESULTS</b>From June 2005 to June 2009, all 12 flaps survived with good quality and aesthetic contour. And no necrosis occurred. We conducted 6-36 months follow-up, and the result was satisfactory. The function of the fingers was reserved. Two-point discrimination differed from 6 cm to 12 cm.</p><p><b>CONCLUSIONS</b>The free ulnar perforator flap on mesio-forearm can repair digital defect with good therapeutic effect, leaving less morbidity at donor site.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
General Surgery
/
Surgical Flaps
/
Treatment Outcome
/
Ulnar Artery
/
Soft Tissue Injuries
/
Forearm
/
Hand Injuries
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Plastic Surgery
Year:
2010
Type:
Article
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