Reconstruction of distal phalanx defect with microsurgical fascia latae flaps combined with rib and skin graft / 中华整形外科杂志
Chinese Journal of Plastic Surgery
;
(6): 29-31, 2008.
Article
Dans Chinois
| WPRIM
| ID: wpr-314168
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the clinical application of microsurgical fascia latae flaps combined with rib and skin graft for reconstruction of the distal phalanx defect.</p><p><b>METHODS</b>The phalanx wounds were sutured together like syndactyly. The autologous rib was revised to repair the bone defect of distal phalanx. The fascia latae flap was used to cover the bone exposure with microvascular anastomoses and resurfaced by a meshed split-thickness skin graft.</p><p><b>RESULTS</b>5 cases were treated successfully. The fascia latae flaps were all survived with only skin graft necrosis at the distal end in one case. It was healed spontaneously.</p><p><b>CONCLUSIONS</b>The fascia latae flap is nourished by the descending branch of the lateral circumflex femoral artery. The flaps has a good blood supply and can be easily obtained with a long vascular pedicle. The flap is ideal for the reconstruction of distal phalanx defect when combined with autologous rib implant and skin graft.</p>
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Côtes
/
Chirurgie générale
/
Lambeaux chirurgicaux
/
Transplantation
/
Transplantation de peau
/
/
Fascia lata
/
Traumatismes du doigt
/
Blessures de la main
/
Méthodes
Limites du sujet:
Adolescent
/
Adulte
/
Femelle
/
Humains
/
Mâle
langue:
Chinois
Texte intégral:
Chinese Journal of Plastic Surgery
Année:
2008
Type:
Article
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