Clinical application of dorsal cutaneous branch-chain flaps in repairing dorsal skin defects of the finger
LI Chu-yan，ZHU Xiao-di， LI Wen-qing， ZHANG Guo-lei，WANG Wen-sheng，LI Fang
Chinese Journal of Clinical Anatomy ›› 2019, Vol. 37 ›› Issue (2) : 210-212.
Clinical application of dorsal cutaneous branch-chain flaps in repairing dorsal skin defects of the finger
Objective To investigate the surgical method and efficacy of dorsal cutaneous branch-chain flaps in repairing dorsal skin defects of the finger. Methods Ten cases of dorsal skin defects of the finger were repaired using dorsal cutaneous branch-chain flaps, with a flap area of 1.0 cm×1.5 cm~2.0 cm× 3.0 cm. Results Postoperatively, only 1 case presented effusion at the distal epidermis. After drawing out effusions and wound dressing, all flaps survived. Postoperative follow-up was performed for 3~12 months. After flap repair, fingers showed good appearance. Flaps presented good appearance and color, pliability and no bloating, and all finger joints had good activity function. Conclusion The dorsal cutaneous branch-chain flap is characterized by stable blood supply, digital artery preservation, convenient design and simple harvest. Therefore, it is a simple and safe ideal method to repair dorsal skin defects of the finger.
Cutaneous branch chain flap； Microsurgical； / Wound repair； / Dorsal soft tissue defect
[1] Lai CS，Lin SD，Yang CC．The reverse digital artery flap forfingertip reconstruction[J]. Ann Plast Surg，1989，22(6)：495-500.
[2] 纪效名，董佳生，生志刚，等. 手指逆行岛状皮瓣的临床应用[J]. 中华显微外科杂志，1989，12(2)：82-83．
[3] 丁自海，裴国献. 手外科解剖与临床[M]. 济南: 山东科学技术出版社，1993:91.
[4] 谢松林，唐举玉，陶克奇，等. 指固有动脉背侧支为蒂的逆行掌指背筋膜皮瓣的应用解剖[J]. 中国临床解剖学杂志，2010，28(1):97-100.
[5] 李桂石，王增涛, 朱磊，等. 指动脉皮支与指掌侧固有神经比邻关系及其临床意义[J]. 中国临床解剖学志，2008，26(1)：25-28．
[6] 王增涛，朱磊，许庆家，等. 手指侧方皮支皮瓣修复指端创面[J]. 中华显微外科杂志，2009，32(4)：293-294．
/
| 〈 |
|
〉 |
