Chinese Journal of Reparative and Reconstructive Surgery
Supervisor： National Health Commission of the People's Republic of ChinaSponsor： Chinese Association of Rehabilitation Medicine , Sichuan University Editor-in-chief：Bin Shen Publishing period：
Monthly
ISSN：1002-1892CN：51-1372/R
1. Department of Hand Surgery, the Fifth People's Hospital of Foshan (the Affiliated Hospital of Foshan Technical College), Foshan Guangdong, 528211, P. R. China;
2. Department of Microsurgery, Orthopaedic Trauma and Hand Surgery, the First Affiliated Hospital of Sun Yat-sen University;
Objective To investigate the application of the double skin paddle arterialized venous flaps for reconstruction of soft tissue defects in the middle and proximal parts of double fingers.Method Between September 2011 and December 2014, 6 cases (12 fingers) of soft tissue defects in the middle and proximal parts of double fingers underwent reconstructive surgery with the double skin paddle arterialized venous flaps. There were 5 males and 1 female with an average age of 33.8 years (range, 19-52 years). The causes included cut injury in 4 cases and crush injury in 2 cases. Five index fingers, 3 middle fingers, 2 ring fingers, and 2 little fingers were involved. All defects located at proximal and middle fingers and defect did not exceed the distal interphalangeal joint. The defect area ranged from 2.5 cm×2.5 cm to 5.5 cm×4.0 cm. All cases had bone or tendon exposure, and 2 cases had phalangeal fracture. The disease duration was 1.5-7 hours (mean, 3.5 hours). The flap size was 8 cm×3 cm-14 cm×5 cm. The donor site was directly sutured (≤ 3.0 cm in width) or was repaired with skin graft (>3.0 cm in width).Results The operation time was 2.5-5.0 hours (mean, 4.0 hours). All flaps survived completely. Tensive blisters occurred in 4 cases and were improved at 1 week after removal of suture around pedicle. Partial distal flap necrosis was noted in 1 case, healing was obtained after secondary debridement; other wounds healed in one stage. The patients were followed up 6-18 months (mean, 13 months). The flap had good texture, elasticity, and appearance. According to the hand function evaluation criteria issued by the Chinese Hand Society, the results were excellent in 3 cases, good in 2 cases, and fair in 1 case at last follow-up. The two-point discrimination of the flap was 8-10 mm (mean, 9 mm).Conclusions The double skin paddle arterialized venous flaps have the advantages of simple technique and definite effectiveness for reconstruction of soft tissue defects in the middle and proximal part of double fingers.
Citation：YANGShuaizhi, CHENLu, ZHENGCanbin, YANGJungui, HUANGYu, CUIJiande. APPLICATION OF THE DOUBLE SKIN PADDLE ARTERIALIZED VENOUS FLAPS FOR RECONSTRUCTING SOFT TISSUE DEFECTS OF MIDDLE AND PROXIMAL PARTS OF DOUBLE FIGURES. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(4): 440-443. doi: 10.7507/1002-1892.20160088Copy
Copyright ? the editorial department of Chinese Journal of Reparative and Reconstructive Surgery of West China Medical Publisher. All rights reserved
1.
Meky M, Safoury Y. Composite anterolateral thigh perforator flaps in the management of complex hand injuries. J Hand Surg (Eur Vol), 2013, 38(4) :366-370.
2.
Marinescu S, Florescu IP, Giuglea C, et al. Free tissue transfer in hand surgery-essential step in hand transplantation. Chirurgia (Bucur), 2012, 107(1) :79-88.
Chen C, Tang P, Zhang L, et al. Repair of multiple finger defects using the dorsal homodigital island flaps. Injury, 2013, 44(11) :1582-1588.
5.
Pan ZH, Jiang PP, Xue S. Free iliac flap for treating multiple skin defects of the hand and digits. J Hand Surg (Eur Vol), 2013, 38(9) :952-958.
6.
Trovato MJ, Brooks D, Buntic RF, et al. Simultaneous coverage of two separate dorsal digital defects with a syndactylizing venous free flap. Microsurgery, 2008, 28(4) :248-251.
7.
Ulrich D, Pallua N. Treatment of avulsion injury of three fingers with a compound thoracodorsal artery perforator flap including serratus anterior fascia. Microsurgery, 2009, 29(7) :556-559.
Gao W, Hong J, Li Z, et al. Hand reconstruction with lobulated combined flaps based on the circumflex scapular pedicle. Microsurgery, 2008, 28(5) :355-360.
10.
Li KW, Liu J, Liu MJ, et al. Free multilobed posterior interosseous artery perforator flap for multi-finger skin defect reconstruction. J Plast Reconstr Aesthet Surg, 2015, 68(1) :9-16.
11.
Nakayama Y, Soeda S, Kasai Y. Flaps nourished by arterial inflow through the venous system:an experimental investigation. Plast Reconstr Surg, 1981, 67(3) :328-334.
Hyza P, Vesely J, Stupka I, et al. The bilobed arterialized venous free flap for simultaneous coverage of 2 separate defects of a digit. Ann Plast Surg, 2005, 55(6) :679-683.
15.
Kayalar M, Levent K, Sugun TS, et al. Syndactylizing arterialized venous flaps for multiple finger injuries. Microsurgery, 2014, 34(7) :527-534.
16.
Kayalar M, Kucuk L, Sugun TS, et al. Clinical applications of free arterialized venous flaps. J Plast Reconstr Aesthet Surg, 2014, 67(11) :1548-1556.
1. Meky M, Safoury Y. Composite anterolateral thigh perforator flaps in the management of complex hand injuries. J Hand Surg (Eur Vol), 2013, 38(4) :366-370.
2. Marinescu S, Florescu IP, Giuglea C, et al. Free tissue transfer in hand surgery-essential step in hand transplantation. Chirurgia (Bucur), 2012, 107(1) :79-88.
4. Chen C, Tang P, Zhang L, et al. Repair of multiple finger defects using the dorsal homodigital island flaps. Injury, 2013, 44(11) :1582-1588.
5. Pan ZH, Jiang PP, Xue S. Free iliac flap for treating multiple skin defects of the hand and digits. J Hand Surg (Eur Vol), 2013, 38(9) :952-958.
6. Trovato MJ, Brooks D, Buntic RF, et al. Simultaneous coverage of two separate dorsal digital defects with a syndactylizing venous free flap. Microsurgery, 2008, 28(4) :248-251.
7. Ulrich D, Pallua N. Treatment of avulsion injury of three fingers with a compound thoracodorsal artery perforator flap including serratus anterior fascia. Microsurgery, 2009, 29(7) :556-559.
9. Gao W, Hong J, Li Z, et al. Hand reconstruction with lobulated combined flaps based on the circumflex scapular pedicle. Microsurgery, 2008, 28(5) :355-360.
10. Li KW, Liu J, Liu MJ, et al. Free multilobed posterior interosseous artery perforator flap for multi-finger skin defect reconstruction. J Plast Reconstr Aesthet Surg, 2015, 68(1) :9-16.
11. Nakayama Y, Soeda S, Kasai Y. Flaps nourished by arterial inflow through the venous system:an experimental investigation. Plast Reconstr Surg, 1981, 67(3) :328-334.
14. Hyza P, Vesely J, Stupka I, et al. The bilobed arterialized venous free flap for simultaneous coverage of 2 separate defects of a digit. Ann Plast Surg, 2005, 55(6) :679-683.
15. Kayalar M, Levent K, Sugun TS, et al. Syndactylizing arterialized venous flaps for multiple finger injuries. Microsurgery, 2014, 34(7) :527-534.
16. Kayalar M, Kucuk L, Sugun TS, et al. Clinical applications of free arterialized venous flaps. J Plast Reconstr Aesthet Surg, 2014, 67(11) :1548-1556.
Click the content below to copy and paste a set citation format。
Citation：YANGShuaizhi, CHENLu, ZHENGCanbin, YANGJungui, HUANGYu, CUIJiande. APPLICATION OF THE DOUBLE SKIN PADDLE ARTERIALIZED VENOUS FLAPS FOR RECONSTRUCTING SOFT TISSUE DEFECTS OF MIDDLE AND PROXIMAL PARTS OF DOUBLE FIGURES. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(4): 440-443. doi: 10.7507/1002-1892.20160088
1/5
WeChat