Clinical observation of repairing finger wound defect with dorsal interosseous artery perforator flap
Objective To investigate the application value of dorsal interosseous artery perforator flap in the treatment of finger wound defect.Methods A to total of 78 patients from January 2022 to January 2024,with finger wound defect admitted to Zhengzhou Orthopaedic Hospital were selected and repaired with dorsal interosseous artery perforator flap to observe the clinical effect.Results After treatment,55 cases were excellent,19 cases were good,3 cases were fair,and 1 case was poor,with an excellent and good rate of 94.87%.The survival rate of the skin flap after treatment was 98.72%,the one month wound healing rate was 96.15%,and the rate of sensory and movement disorders in the injured fingers was 98.72%.After 6 months of treatment,the patient's proximal finger joint range of motion,distal finger joint range of motion,and finger appearance score significantly increased compared to before treatment(P<0.05).After 6 months of treatment,the quality of life scores of the patients were significantly higher than those before treatment(P<0.05).Conclusions The dorsal interosseous artery perforator flap has a definite effect on repairing upper limb fractures with finger skin tissue defects,with a high survival rate of the flap.It can promote the recovery of finger function,improve finger appearance,and enhance the quality of life of patients.
dorsal interosseous artery perforator flapfinger skin tissue defectfinger joint range of motionquality of life