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Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  >  > Accepted Manuscript
Zhu Xuwei,Zhou Feiya,Ding Jian,et al.Clinical effects of harvesting superficial iliac circumflex artery PSP flaps via subdermal approach for repairing skin and soft tissue defects in hands and feet[J].Chin J Burns Wounds,2026,42(5):1-7.DOI: 10.3760/cma.j.cn501225-20241215-00487.
Citation: Zhu Xuwei,Zhou Feiya,Ding Jian,et al.Clinical effects of harvesting superficial iliac circumflex artery PSP flaps via subdermal approach for repairing skin and soft tissue defects in hands and feet[J].Chin J Burns Wounds,2026,42(5):1-7.DOI: 10.3760/cma.j.cn501225-20241215-00487.
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Clinical effects of harvesting superficial iliac circumflex artery PSP flaps via subdermal approach in repairing skin and soft tissue defects in hands and feet

doi: 10.3760/cma.j.cn501225-20241215-00487

  • Department of Wound Repair, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325027, China

Funds:

Basic Public Welfare Research Program of Zhejiang Province LY24H110002

Basic Research Project of Wenzhou Science and Technology Bureau YC20250543

More Information
  • Corresponding author: Li Shi, Email: Lister@wmu.edu.cn
  • Received Date: 2024-12-15
    Available Online: 2026-04-30
    Abstract
  •   Objective  To investigate the safety and effects of harvesting superficial iliac circumflex artery pure skin perforator (PSP) flaps via subdermal approach in repairing skin and soft tissue defects in hands and feet.  Methods  This study was a retrospective case series study. From March 2022 to February 2024, 14 patients with 15 skin and soft tissue defect wounds in hands and feet who met the inclusion criteria were admitted to the Department of Wound Repair of the Second Affiliated Hospital of Wenzhou Medical University. After debridement, the wound areas ranged from 5.6 cm×1.9 cm to 14.0 cm×7.0 cm. Before surgery, the perforators were located using high-frequency ultrasound. During surgery, 15 superficial circumflex iliac artery PSP flaps were harvested via the subdermal approach for repairing the wounds. The flap harvesting time ranged from 37 to 140 minutes, and the flap sizes ranged from 5.6 cm×1.9 cm to 14.0 cm×7.0 cm. Vascular anastomosis was performed between the donor and recipient sites. The donor site wounds were closed by direct suturing. After surgery, the survival of flaps was observed, and the occurrence of complications was recorded. At the final follow-up, the 5-point Likert scale was used to evaluate the flaps from four aspects: overall aesthetic appearance, contour similarity to surrounding tissue, color similarity to surrounding tissue, and texture similarity to surrounding tissue.  Results  All 15 flaps survived successfully after surgery. One flap developed purple plaque,whicts stabilized after dressing chanes.One flap developed venous crisis, which alleviated after surgery. One patient experienced delayed healing of the donor site wound, which successfully healed one week after debridement and dressing changes. At the final follow-up, the overall aesthetic appearance score of the flaps ranged from 3.3 to 5.0, with an average of 4.5; the contour similarity to surrounding tissue ranged from 3.7 to 5.0, with an average of 4.7; the color similarity to surrounding tissue ranged from 3.3 to 5.0, with an average of 4.5; the texture similarity to surrounding tissue ranged from 3.7 to 5.0, with an average of 4.8.  Conclusions  Harvesting the superficial iliac circumflex artery PSP flaps via the subdermal approach for repairing skin and soft tissue defects in hands and feet is a safe and feasible surgery as that all the flaps survived after surgery, with favorable aesthetic appearance, contour, color, and texture.

     

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