REPAIRING WOUND OF HAND BY DIGITAL ARTERIAL FLAP WITHOUT DIGITAL NERVE: A RPORT OF 30 CASES / 第二军医大学学报

ABSTRACT

Small to moderate-sized wounds of the hand were resurfaced in one stage by digital arterial flaps from the lateral surgace of the near by digit in 30 Cases. The flaps included only the digital arteries and small venules in their pedicles in 15 cases, preserving digital nerve intact in the donor digit.Wounds of the fingertips were repaired by transferring digital arterial flaps with a dorsal branch of the digital nerve so that the sense of the flap was preserved and the sensory loss of the donor digit was minimized in 16 cases. Excellent results were obtained in all. This technique minimizes the sensory loss of the donor digit. The lengthy pedicle allows an arc of coverage over the palm and dorsum of hand and adjacent digits. The procedure is simpler and safer than microsurgical flap transfer. The treatment period is slhoter and the outward appearance and function are better as compared with traditional tube-pedicle grafts or cross-digiti flaps.