Dorsal metacarpal artery dorsal skin flap repair of finger soft tissue defect of 27 cases.docVIP

 PAGE \* MERGEFORMAT 10 Dorsal metacarpal artery dorsal skin flap repair of finger soft tissue defect of 27 cases Of: Luo Weiguo, cloud hung, Chow Chung Wen, Huang Zhi, Yang Bailin, Lu Yan [Abstract] [Objective] To investigate the clinical application of dorsal metacarpal artery dorsal skin flap repair of finger soft tissue defect treatment. [Method] from 2004 to 2007, with the dorsal metacarpal artery with dorsal skin flap in 27 cases, repair digital soft tissue defects. [Results] All 27 cases of flap survival, appearance satisfaction .23 patients were followed up for 6 months to 2 years, close to the skin flap and the same basic color, local flat, soft, finger and hand function was normal. [Conclusion] The dorsal metacarpal artery dorsal skin flap repair of finger soft tissue defect is a better way. [Keywords:] dorsal metacarpal artery dorsal cutaneous branch; surgical flaps; fingers, lack of soft tissue damage, repair Hand Surgery finger skin defect is a common injury, often accompanied by nerve and tendon damage and even phalanx exposed. The traditional method a lot, but repair effect is not satisfactory. The texture of the skin under the back of the hand is good, less subcutaneous fat characteristics, the dorsal metacarpal artery dorsal skin flap repair of finger soft tissue defect coverage and achieved good results. 1 Clinical data 1.1 General Information The group of 22 males and 5 females, aged from 12 to 47 years of age. Injury: Squeeze avulsion in 22 cases, 2 cases of injury planer, cuts in 3 cases. Repair parts: the index finger near the dorsal section of 4 cases section of the index finger near the palm side of the 2 cases of COSCO, the middle finger close to the dorsal section 11 cases, almost in the middle section of the palm side of the 5 cases, proximal dorsal ring finger in 4 cases, 1 case of proximal little finger. skin defect of 0.8 cm × 1.2 cm ~ 2.1 cm × 5.5 cm, flexor tendon in varying degrees, refers to the artery, t