Email Alerts
RSS
Volume 39 Issue 10
Oct.  2023
Turn off MathJax
Article Contents
Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  > 2023  >  39(10): 933-938
Liu F,Zhang W,Xie WG,et al.Effects of miniature free groin perforator flaps in repairing small wounds on hands[J].Chin J Burns Wounds,2023,39(10):933-938.DOI: 10.3760/cma.j.cn501225-20230701-00244.
Citation: Liu F,Zhang W,Xie WG,et al.Effects of miniature free groin perforator flaps in repairing small wounds on hands[J].Chin J Burns Wounds,2023,39(10):933-938.DOI: 10.3760/cma.j.cn501225-20230701-00244.
shu

Effects of miniature free groin perforator flaps in repairing small wounds on hands

doi: 10.3760/cma.j.cn501225-20230701-00244

  • Department of Burns, Tongren Hospital of Wuhan University ＆ Wuhan Third Hospital, Wuhan 430060, China

More Information
  • Corresponding author: Zhang Wei, Email: zhw010@163.com
  • Received Date: 2023-07-01
    Abstract
  •   Objective   To investigate the effects of miniature free groin perforator flaps in repairing small wounds on hands.   Methods   The retrospective observational study was conducted. Fifteen patients with 16 small wounds on hands were admitted to Tongren Hospital of Wuhan University & Wuhan Third Hospital from July 2020 to October 2022, including 12 males and 3 females, aged 19 to 56 years. The size of skin and soft tissue defect was 2.0 cm×1.5 cm to 6.0 cm×3.0 cm after debridement. According to size and shape of the wounds, 13 single-lobe perforator flaps and 2 bilobed perforator flaps were designed in the groin region, with the flap size of 4.5 cm×2.5 cm to 7.5 cm×3.5 cm. According to the condition of the recipient area, the arteries and veins at the pedicle of the flap were anastomosed to the arteries and veins of the recipient area respectively. The wounds in the donor area of the flap was closed by layered and tension-reducing suture. The thickness of the flap was measured during operation. The survival of the flap was observed, and the complications in the donor and recipient areas were recorded after operation. The appearance and texture of the flap were observed during follow-up. At the last follow-up, the sensory recovery of the affected hand was evaluated, the function of the affected hand was evaluated according to the trial standard of the upper limb partial function evaluation of the Hand Surgery Society of the Chinese Medical Association, the scar in the donor and recipient areas were observed, and the satisfaction of patients for the curative effects was inquired.   Results   The thickness of the flap was ranged from 0.3 to 1.0 cm, with an average thickness of 0.6 cm. After operation, 11 single-lobe flaps and 2 bilobed flaps survived well; in the left 2 single-lobe flaps, one flap had venous crisis but returned to normal after removing stitches to reduce tension and bloodletting of flaps, while the other one flap had a little necrosis on tip but healed after dressing change. No complications occurred in donor and recipient areas. During follow-up of 8 to 35 months after operation, the flaps had good elasticity and soft texture; 8 flaps were slightly bloated and were trimmed 3 to 8 months after operation, while the appearances of the other flaps were good. At the last follow-up, all flaps recovered protective feeling; the function of the affected hand was evaluated as excellent in 10 cases, good in 4 cases, and fair in 1 case; only linear scar remained in the donor and recipient areas; the patients were satisfied with the appearance and function recovery of the affected hand.   Conclusions   The miniature free groin perforator flaps in repairing small wounds on hands have the advantages of high survival rate of flaps, hidden flap donor area, little damage, few complications, good repair effect, etc., showing clinical application value. It is recommended for repairing non-functional wounds on hands.

     

    • FullText(HTML)
  • loading
    • References(22)
  • [1]
    黄昱,刘圣曜,刘伟,等.新型游离微型穿支皮瓣与传统游离皮瓣修复手指皮肤缺损比较[J].实用中西医结合临床,2019,19(7):24-26.DOI: 10.13638/j.issn.1671-4040.2019.07.012.
    [2]
    邹新龙,马娜,王明月,等.微型游离皮瓣在手外伤软组织缺损修复中的应用[J].中国美容整形外科杂志,2019,30(11):670-673.DOI: 10.3969/j.issn.1673-7040.2019.11.010.
    [3]
    袁野,路闯,邱俊涛,等.上肢微型游离皮瓣在外伤性手指创面修复中的效果及对手部功能改善价值分析[J].中国医疗美容,2020,10(3):32-36.DOI: 10.19593/j.issn.2095-0721.2020.03.009.
    [4]
    YangWG,ChiangYC,WeiFC,et al.Thin anterolateral thigh perforator flap using a modified perforator microdissection technique and its clinical application for foot resurfacing[J].Plast Reconstr Surg,2006,117(3):1004-1008.DOI: 10.1097/01.prs.0000200615.77678.f1.
    [5]
    KimuraN.A microdissected thin tensor fasciae latae perforator flap[J].Plast Reconstr Surg,2002,109(1):69-77; discussion 78-80.DOI: 10.1097/00006534-200201000-00012.
    [6]
    潘生德,顾玉东,侍德.中华医学会手外科学会上肢部分功能评定试用标准[J].中华手外科杂志,2000(3):130.DOI: 10.3760/cma.j.issn.1005-054X.2000.03.003.
    [7]
    唐举玉.穿支皮瓣的基础理论与基本技术[J].中华显微外科杂志, 2022, 45(2):5.DOI: 10.3760/cma.j.cm441206-20220403-00068.
    [8]
    吴守成,姚建民,孙豪.微型游离皮瓣的临床应用[J].实用手外科杂志, 2000, 14(1):46,32.
    [9]
    方光荣,丁小珩,汤海萍,等. 微型组织瓣在手外科的临床应用[J].中华显微外科杂志,2009,32(5):356-359,后插1. DOI: 10.3760/cma.j.issn.1001-2036.2009.05.003.
    [10]
    唐举玉,魏在荣,张世民,等.穿支皮瓣的临床应用原则专家共识[J].中华显微外科杂志,2016,39(2):105-106.DOI: 10.3760/cma.j.issn.1001-2036.2016.02.001.
    [11]
    向滔,田林,张晓星,等.微型游离皮瓣在修复多手指软组织缺损中的应用效果[J].实用手外科杂志,2019,33(1):53-55.DOI: 10.3969/j.issn.1671-2722.2019.01.019.
    [12]
    杨勇,李斌,李峰,等.足部游离皮瓣修复手部中小面积的创面[J].中国骨与关节杂志,2022,11(12):903-909.DOI: 10.3969/j.issn.2095-252X.2022.12.005.
    [13]
    张松健,谢书强,杨超凡,等.游离桡动脉掌浅支皮瓣与尺动脉腕上支皮瓣在修复手部创面中的应用[J].中华显微外科杂志,2019,42(6):590-593.DOI: 10.3760/cma.j.issn.1001-2036.2019.06.020.
    [14]
    吴裕平,林平.游离尺动脉腕上皮支微型皮瓣修复手指C形缺损[J].中华手外科杂志,2021,37(3):196-198.DOI: 10.3760/cma.j.cn311653-20201121-00379.
    [15]
    唐俊华,金国栋,曾永文,等.游离大鱼际皮支皮瓣修复手指掌侧皮肤软组织缺损[J].中华手外科杂志,2019,35(3):194-195.DOI: 10.3760/cma.j.issn.1005-054X.2019.03.012.
    [16]
    梅雄军,王海文,黄祖望,等.微型腹股沟穿支皮瓣修复手或足部小面积软组织缺损9例[J].中华显微外科杂志,2023,46(2):207-211.DOI: 10.3760/cma.j.cn441206-20220907-00186.
    [17]
    古欣庆,周洋,李孝根,等.腹股沟皮瓣切取技巧及其修复手和足部软组织缺损[J].中华显微外科杂志,2021,44(4):456-459.DOI: 10.3760/cma.j.cn441206-20210329-00089.
    [18]
    郭兵,何悦.旋髂浅动脉穿支皮瓣解剖学研究及在口腔颌面-头颈部的临床应用进展[J].中华整形外科杂志,2022,38(3):344-348.DOI: 10.3760/cma.j.cn114453-20200415-00223.
    [19]
    吴学仁,魏盼杰,赵耀华,等.髂腹股沟复合组织瓣修复手足部皮肤软组织缺损的效果[J].中华烧伤杂志,2020,36(8):722-725.DOI: 10.3760/cma.j.cn501120-20190408-00171.
    [20]
    马小睦,刘春军.吲哚菁绿血管造影在皮瓣外科中的应用[J].中华整形外科杂志,2020,36(7):810-816.DOI: 10.3760/cma.j.cn114453-20190828-00261.
    [21]
    顾舒晨,李海洲,高雅姗,等.吲哚菁绿荧光造影在背部扩张穿支皮瓣设计中的应用[J].中华整形外科杂志,2020,36(3):251-256.DOI: 10.3760/cma.j.cn114453-20200218-00056.
    [22]
    董书男,刘承伟,江吉勇,等.微型削薄旋髂浅动脉穿支皮瓣修复手部小面积软组织缺损[J].中华显微外科杂志,2021,44(4):435-438.DOI: 10.3760/cma.j.cn441206-20210314-00078.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(3)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (1703) PDF downloads(23) Cited by()
    Proportional views
    Related

    Copyright © Chinese Journal of Burns京ICP备07035254号-14

    E-mail：shaoshangzazhi@163.com

    Website：https://zhsszz.xml-journal.net/

    Supported by: Beijing Renhe Information Technology Co. Ltd    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return