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 defec...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.展开更多
Posttraumatic thumb defects result in significant functional impairment.Multiple reconstructive procedures have been described for the management and improvement of function.Compared with no treatment,all reconstructi...Posttraumatic thumb defects result in significant functional impairment.Multiple reconstructive procedures have been described for the management and improvement of function.Compared with no treatment,all reconstructive methods are beneficial.Each of the available procedures may be more applicable under certain conditions,can offer great benefits,and have its own downsides as well.With a thorough assessment and meticulous technique,the results of thumb reconstruction can be excellent.We present a review of the current reconstructive procedures for traumatic thumb amputation.展开更多
文摘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.
文摘Posttraumatic thumb defects result in significant functional impairment.Multiple reconstructive procedures have been described for the management and improvement of function.Compared with no treatment,all reconstructive methods are beneficial.Each of the available procedures may be more applicable under certain conditions,can offer great benefits,and have its own downsides as well.With a thorough assessment and meticulous technique,the results of thumb reconstruction can be excellent.We present a review of the current reconstructive procedures for traumatic thumb amputation.
