Objective To introduce a one stage technique in the reconstruction of mutilated hand with lossof thumb and eventual digits. Methods Tibialis anterior pediculated triple flaps ( TAPTF) including distal lateral leg, dor...Objective To introduce a one stage technique in the reconstruction of mutilated hand with lossof thumb and eventual digits. Methods Tibialis anterior pediculated triple flaps ( TAPTF) including distal lateral leg, dorsalis pedis flaps for skin defect covering and trimmed hallux for thumb reconstruction were presented. Results Mutilated hands in five patients were repaired by the technique with acceptable cosmetic and functional success. A three to twelve months follow-up in three patients resulted in the recovery of protective thermal sensation and pinch action of the reconstructed thumb. The donor sites were free from major disability. Conclusion TAPTF is ideal for one stage reconstruction of the mutilated hand with loss of digits.展开更多
Objective: To study the methods and techniques of free flap transfer bridged by posterior tibial vascular flap in treating large soft tissue defects in low limbs without usable recipient blood vessels. Methods: Based ...Objective: To study the methods and techniques of free flap transfer bridged by posterior tibial vascular flap in treating large soft tissue defects in low limbs without usable recipient blood vessels. Methods: Based on morphological observation and measurement of arterial pressure and blood flow, an antegrade and a retrograde vascular bridge flaps were designed using the healthy posterior tibial vessels to serve as vascular pedicles to carry two free flaps for transplantation. Results: Eight cases of patient with one or two large soft tissue defects in the leg region were treated by the method. All the bridge flaps and free flaps survived well, and the defects were repaired completely. Conclusions: The results showed that it is an ideal method for using the posterior tibial vessels from the healthy limb to form vascular pedicles in repairing large soft tissue defects in patients without a usable recipient blood vessel.展开更多
文摘Objective To introduce a one stage technique in the reconstruction of mutilated hand with lossof thumb and eventual digits. Methods Tibialis anterior pediculated triple flaps ( TAPTF) including distal lateral leg, dorsalis pedis flaps for skin defect covering and trimmed hallux for thumb reconstruction were presented. Results Mutilated hands in five patients were repaired by the technique with acceptable cosmetic and functional success. A three to twelve months follow-up in three patients resulted in the recovery of protective thermal sensation and pinch action of the reconstructed thumb. The donor sites were free from major disability. Conclusion TAPTF is ideal for one stage reconstruction of the mutilated hand with loss of digits.
文摘Objective: To study the methods and techniques of free flap transfer bridged by posterior tibial vascular flap in treating large soft tissue defects in low limbs without usable recipient blood vessels. Methods: Based on morphological observation and measurement of arterial pressure and blood flow, an antegrade and a retrograde vascular bridge flaps were designed using the healthy posterior tibial vessels to serve as vascular pedicles to carry two free flaps for transplantation. Results: Eight cases of patient with one or two large soft tissue defects in the leg region were treated by the method. All the bridge flaps and free flaps survived well, and the defects were repaired completely. Conclusions: The results showed that it is an ideal method for using the posterior tibial vessels from the healthy limb to form vascular pedicles in repairing large soft tissue defects in patients without a usable recipient blood vessel.
