The short-term efficacy and treatment experience of reverse island flaps based on vascular chain between the dorsal branches of the digital artery for repairing the defects of finger tips
Objective To analyze the short-term efficacy of reverse island flaps based on vascular chain between the dorsal branches of the digital artery for repairing the defects of finger tips,and review the treatment experiment.Methods Retrospective analysis was made on clinical data of 21 patients(21 fingers)with finger tip defect.All patients were repaired by reverse island flaps based on vascular chain between the dorsal branches of the digital artery.The subjective satisfactions,sensory of flap,activity function of the affected finger were assessed during follow-up.Results 19 flaps were fully viable and the sutures were removed successfully,1 case delayed in healing due to severe cyanosis caused by postoperative smoking,another 1 case got partial necrosis because of opening air conditioning,which leading to low temperature.19 of 21cases were followed up ranging from 3 to 18 months,with an average of(8.9±4.6)months.In the follow-up cases,the subjective satisfaction of patients:very satisfied in 16 cases(84.2%),relatively satisfied in 3 cases(15.8%),and there were no unsatisfied cases.Flap sensory recovery:S4 in 15 cases(78.9%),S3+ in 3 cases(15.8%),S3 in 1 case(5.3%).Activity function of the affected finger:excellent in 16 cases(84.2%),good in 3 cases(15.8%).Conclusion Reverse island flaps based on vascular chain between the dorsal branches of the digital artery for repairing defect of finger tip can reach good texture and contour,and has a clear advantage.But dealing with complications actively and the close nursing postoperatively are remain essential for a good clinical outcome.
Island flapDorsal branches of the digital arteryFingertip defectHand injuryWound repair
万方数据
维普
