The Effect of Fascial Pedicled Island Flap of the First Metacarpal Radial Dorsal Artery Skin Branch Chain on the Repair of Thumb Tissue Defect

Objective To analyze the effect of fascial pedicled island flap of the first metacarpal radial dorsal artery skin branch chain on the repair of thumb tissue defect.Methods take the 100 patients with thumb tissue defects treated in our hospital from 2017.01 to 2019.01 as the research objects,and divide them into control group and observation group randomly,50 cases in each group.In the observation group,the fascial pedicled island flap of the first metacarpal radial dorsal artery skin branch chain is used for repair,and in the control group,the thumb tissue is repaired with abdominal flap.Compare the DASH scores and outcomes of two groups.Results After treatment,the DASH score in the observation group is significantly lower than that in the control group,which is statistically significant(P<0.05);The operation time and intraoperative blood loss of Observation Group is significantly lower than Control Group,which is statistically significant(P<0.05).Conclusion Repairing defected thumb with the fascial pedicled island flap of the first metacarpal radial dorsal artery skin branch chaint has the advantages of simple operation and easy mastery,and has significant curative effect on patients.It is an effective way to repair partial thumb defect,and worth popularizing.

第1掌骨桡背侧带蒂皮瓣修复示指末节软组织缺损

目的探讨采用第1掌骨桡背侧带蒂皮瓣修复示指末节软组织缺损的临床疗效。方法 2013年2月-2017年8月,采用第1掌骨桡背侧带蒂皮瓣修复示指末节软组织缺损42例。结果 42例皮瓣全部成活,伤口愈合佳,术后3~6个月伤指皮瓣质地、颜色与受区极为相近,外形满意,耐摩擦,感觉恢复良好,均获得满意疗效。结论采用第1掌骨桡背侧带蒂皮瓣修复示指末节软组织缺损,手术操作易掌握,无需特殊辅助器械及材料,成本低廉,疗效可靠。

第一掌骨桡背侧带蒂皮瓣修复示指末节软组织损伤效果观察

目的:观察第一掌骨桡背侧带蒂皮瓣修复示指末节软组织缺损的疗效及临床应用。方法:选择2016年1月至2018年1月东莞市清溪医院入院的手指远端软组织缺损患者50例并对其进行第一掌骨桡背侧带蒂皮瓣的修复。进行术后随访以观察伤口愈合,皮瓣存活和并发症,并评估对手的功能和皮瓣的晚期治疗。结果:参与研究的所有患者均获得随访,随访时间6～12个月,术后50例皮瓣全部存活,手功能的评定标准依据中华医学会手外科学会上肢部分功能评定试用:优44例,良4例,可2例,优良率为96%;皮瓣优良率分别为94%;术后并发症发生率为4%。结论:第一掌骨桡背侧带蒂皮瓣修复示指末节软组织损伤效果显著,手术风险小,术后发生并发症的机率小。