Free anterolateral thigh perforator flap without carrying the source of blood vessels and fascia lata for the coverage of the hand defects / 中华显微外科杂志

ABSTRACT

Objective To study the surgical method of repairing the defects of the hand with the free antero-lateral thigh perforator flap without carrying the source of blood vessels and the fascia. Methods From February, 2013 to October, 2016, 8 cases of hand defects with tendon and bone exposure.Looking for the thickest perforator in the anterolateral thigh region by using the Multidetector computed tomography angiography(MDCTA)and color Doppler Sonography(CDS). Find the perforator in the superficial fascia,cut a small part of the fascia lata and vastus lateralis,cut off the pedicle at the musculocutaneous perforator.Cover the defects with flap after debridement. Regular follow-up includethe healing of the wound,the texture,shape and sensation of the skin flap, the scar and complica-tions of the donor area. Results All flaps survived in 8 cases, in one case,there are 1.0 cm necrosis in the distal flap, after debridement, direct suture. All patients were followed up for 6-12 months. The flaps were soft and normal color, restore the protective touch. The donor site healed well, linear scar, no itching and dysfunction. Conclusion Free anterolateral thigh perforator flap without source blood vessels and fascia lata is a good method for the repair of hand defects.