中国骨伤2011，Vol.24Issue(1)：66-68,3.DOI:10.3969/j.issn.1003-0034.2010.10.019
拇指背动脉岛状皮瓣的临床应用及血供障碍处理
Clinical application of island skin flap of pollical dorsal digital arteries in repairing defect of soft tissue
蒋良福 1周飞亚 1李志杰 1杨景全 1褚庭纲 1池征璘 1高伟阳1
作者信息
- 1. 温州医学院附属第二医院手外科,浙江,温州,325027
- 折叠
摘要
Abstract
Objective:To introduce clinical experience of repairing defect of pollical soft tissue with island skin flap of pollical dorsal digital arteries,and explore the reasons of disturbance of blood supply and its therapeutic method. Methods: From July 2005 to December 2008,21 thumbs in 21 patients with defect of soft tissue were treated with surgery. There were 16 males and 5 females,ranging in age from 16 to 55 years with an average of 39 years. Defects of extremity-radialis soft tissues of thumb in 4 cases were repair with island skin flap of dorsal-radial pollical arterial;and defects of ulnaris ,finger pulp, hyponychium of thumb in 17 cases were repair with island skin flap of dorsal-ulnar pollical arterial. The pivoting point of flap was 0.5 cm proximal to interphalangeal joint. The size of flap was from 2 cm×1.5 cm to 4 cm×2.5 cm. Results:Blood articulo was found in 6 cases during operation and after operation and the flaps survived after corresponding treatment. The patients were follow-up from 3 months to 2 years. The texture and shap of flap was good, only had slightly pigmentation. Range of motion was normal in metacarpophalangeal joints and interphalangeal joint. All the flaps of prothetic finger pulp had sensory recovery with two point discrimination for 4-10 mm. Conclusion:It is easy and effective in repairing defect of pollical soft tissue with island skin flap of pollical dorsal digital arteries. The treatment of pedicle is key to success,the length,width and compression of pedicle can effect on blood supply of flap.关键词
拇指/外科皮瓣/软组织损伤/移植引用本文复制引用
蒋良福,周飞亚,李志杰,杨景全,褚庭纲,池征璘,高伟阳..拇指背动脉岛状皮瓣的临床应用及血供障碍处理[J].中国骨伤,2011,24(1):66-68,3.
