Comparison of clinical efficacy of three types of free skin flaps for repairing degree Ⅱ fingertip defects
Objective To investigate the clinical efficacy of three types of free skin flaps for repairing degree Ⅱ fingertip defects.Methods From January 2020 to June 2022,three types of free skin flaps were used to repair 45 patients with degree Ⅱ fingertip defects based on the nature,severity,type of injured finger,and treatment willingness of the patients,and clinical results were tested according to unified testing standards.Results All 45 skin flaps survived,with good texture and satisfactory appearance and function.At postoperative follow-up of 6,12,and 18 months,there were statistically significant differences(P＜0.05 or P＜0.01)in the 2PD(m2PD and s2PD)results between the full reconstruction group,the wrist transverse flap group,and the free venous flap group and the healthy control group.Conclusion Flaps are still the main means of repairing finger defects.Three types of free flaps are ideal for repairing fingertip soft tissue defects,with a high survival rate and good sensory function recovery.They should be selected and applied according to local conditions.
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