Distally based flap of skin and soft tissue defects of distal limbs.docVIP

 PAGE \* MERGEFORMAT 13 Distally based flap of skin and soft tissue defects of distal limbs [Abstract] Objective To evaluate the distal limbs distally based flap to repair soft tissue defects of the clinical effects. Methods 14 different types of clinical application of distally based flap of skin and soft tissue defects of distal limbs of 127 patients. Flap type: dorsal fascia flap in 9 cases, the finger side of the island flap in 25 cases, dorsal metacarpal artery flap in 15 cases, the index finger dorsal island flap in 8 cases, superficial branch of radial nerve nutrient vessels flap in 13 cases, the radial snuffbox artery skin flap in 6 cases, wrist cutaneous branch of ulnar artery flap in 7 cases, between the dorsal artery island forearm flap in 7 cases, sural neurocutaneous flap in 15 cases, sural nerve nutrition blood vessel muscle flap in 4 cases, saphenous neurocutaneous flap in 5 cases, posterior tibial artery medial malleolus epithelial flap in 8 cases, 3 cases of medial plantar flap, dorsal metatarsal artery flap in 2 patients. which 81 vascular flap cases, fascia flap in 9 cases, 37 cases of neurocutaneous flap. Results 127 patients were followed up from 1 to 6 months, an average of 3 months, 127 cases of the distal flaps survived completely, skin 3 cases of complete flap necrosis, 7 cases of distal partial necrosis. survival of the flap appearance, texture. Conclusion distally based flap for repairing distal limb defects is safe, simple, does not match blood vessels, a high success rate, flap is thinner, and by the area of skin texture, color and closer, etc., is to repair soft tissue defects of distal limbs ideal choice. [Keywords:] scar tissue microstructure of distally based flap repair defect Abstract: Objective To study the clinical effect of the distal pedicle flap torepair the soft tissue defect in extremity.Methods 14 kinds of different types of distalpedicle flap to repair the soft tissue defect in 137 cases were clinical applied