In the section of dorsal reverse fascial pedicled island flap to repair soft tissue defects with the fingertip.docVIP

 PAGE \* MERGEFORMAT 10 In the section of dorsal reverse fascial pedicled island flap to repair soft tissue defects with the fingertip Authors: Fan Aimin, HE Zhi, Zhang Liang, Feng Tie-Cheng, Cao Shi-feng, Liu Fanggang [Abstract] Objective To observe the section of dorsal reverse fascial pedicled island flap to repair soft tissue defects of the efficacy of fingertip. Method in the same section that does not damage the dorsal side were cut in reverse fascial pedicle island flap, rotation point of the distal interphalangeal joint cross striations and finger palm side of the midline point of intersection, the retrograde rotation flap wound repair finger tip for the District, a thick skin graft repair period. Results 15 cases of postoperative recovery was smooth, 23-finger flap all survived, 2 refers to postoperative venous crisis, 4 refers to partial necrosis occurs, 3 means the occurrence of superficial infections, symptomatic treatment healing. Funding for the District does not appear obvious dysfunction. The average follow-up of 6.4 months, the clinical results were satisfactory. Conclusions section of dorsal fasciocutaneous island flap with retrograde blood supply is rich in anatomical constant, cut to take easy, to repair the tip of finger soft tissue defect better choice. [Keywords:] the tip of finger; surgical flaps; Transplantation Fingertip defects can be divided into dorsal defect, pulp defect, lateral distal transverse defects and defects, may be associated with exposed phalanx with partial loss of nail. Fingertip defect repair requires not only repair the wound, beautiful appearance, retention finger length, and have a good feeling of fingertip [1]. March 2006 -2,009 years in February, the author refers to the application section of dorsal reverse fascial pedicled island flap to repair soft tissue defects with the pointed end of 23 cases, and achieved satisfactory results, are reported as follows. 1 Data and methods 1.1 General Information of thi