摘要
Abstract
Objective To investigate the clinical effect of repairing palmar soft-tissue defects of the fingers using a fibular-side toe flap combined with a full-thickness skin graft.Methods Sixty-two patients with palmar soft-tissue defects of the fingers admitted to Henan Provincial People's Hospital from January 2023 to February 2025 were included.According to the reconstruction method,patients were assigned to a control group(fibular-side toe flap)or a study group(fibular-side toe flap plus full-thickness skin graft),31 cases each.Outcomes compared included clinical therapeutic effect(flap survival rate,operation time,and length of hospital stay),postoperative finger functional recovery[assessed with the Michigan Hand Outcomes Questionnaire(MHQ)],and incidence of complications.Results The overall flap survival rate was 100%in both groups,but the complete survival rate was higher in the study group(90.32%)than in the control group(64.52%)(P＜0.05).Operation time did not differ between groups(P＞0.05).Length of hospital stay was shorter in the study group than in the control group(P＜0.05).At 3 months postoperatively,scores for all dimensions of the MHQ(appearance,pain,activities of daily living,satisfaction with hand function,work performance,and overall hand function)improved in both groups,with better scores in the study group than in the control group(P＜0.05).The incidence of complications did not differ between groups(P＞0.05).Conclusion For palmar soft-tissue defects of the fingers,a fibular-side toe flap combined with a full-thickness skin graft confers significant clinical advantages by increasing complete flap survival,shortening hospitalization,and promoting recovery of finger function without increasing complications.关键词
趾腓侧皮瓣联合全厚皮片移植/手指掌侧/软组织缺损/临床效果Key words
fibular-side toe flap combined with full-thickness skin graft/palmar soft-tissue defects of the fingers/soft-tissue defect/clinical effect分类
医药卫生
