Abdominal pedicled flap transfer for repair of multiple finger volar skin defects at the middle and distal phalanx level
Author(s): LIN Jian, YU Yun-lan, WU Chun, WANG Zheng-li, YING Zhen-duan, ZHU Sheng-jun
Pages: 84-85
Year: 2009 Issue: 2
Journal: Chinese Journal of Hand Surgery
Keyword: Surgical flaps; Finger injuries;
Abstract: Objective To report the clinical outcomes of applying abdominal pedieled flap to repair multiple finger volar skin defects at the middle and distal phalanx level. Methods Five patients who sustained same hand multiple finger velar skin defect at the middle or distal phalanx level were treated with transfer of an abdominal pedicled flap. Results Postoperatively all the flaps survived completely. The pediele was divided in stages. Syndactyly was released and the fingers debulked. Postoperative follow up ranged from 3 to 12 months. The color, texture and elasticity of the flaps were good. There was no obvious bulkiness or contracture of the flaps. Recovery of the hand function was good. Conclusion Conventional flaps, like the abdominal pedieled flap, can achieve satisfactory results in repairing skin defects involving multiple fingers if the flap design is appropriate and sufficient blood supply is secured in the harvested area. The surgery is simple and safe, while the donor site morbidity is minimal.
Pages: 84-85
Year: 2009 Issue: 2
Journal: Chinese Journal of Hand Surgery
Keyword: Surgical flaps; Finger injuries;
Abstract: Objective To report the clinical outcomes of applying abdominal pedieled flap to repair multiple finger volar skin defects at the middle and distal phalanx level. Methods Five patients who sustained same hand multiple finger velar skin defect at the middle or distal phalanx level were treated with transfer of an abdominal pedicled flap. Results Postoperatively all the flaps survived completely. The pediele was divided in stages. Syndactyly was released and the fingers debulked. Postoperative follow up ranged from 3 to 12 months. The color, texture and elasticity of the flaps were good. There was no obvious bulkiness or contracture of the flaps. Recovery of the hand function was good. Conclusion Conventional flaps, like the abdominal pedieled flap, can achieve satisfactory results in repairing skin defects involving multiple fingers if the flap design is appropriate and sufficient blood supply is secured in the harvested area. The surgery is simple and safe, while the donor site morbidity is minimal.
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