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Special-form radial collateral artery perforator flaps for the reconstruction of complex hand defects.
Xiong, Yu; Xiong, Qin; Qing, Li-Ming; Wu, Pan-Feng; Tang, Ju-Yu; Yu, Fang.
Afiliación
  • Xiong Y; Department of Hand and Microsurgery, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha, 410000, China.
  • Xiong Q; Department of Hand and Microsurgery, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha, 410000, China.
  • Qing LM; Department of Hand and Microsurgery, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha, 410000, China.
  • Wu PF; Department of Hand and Microsurgery, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha, 410000, China.
  • Tang JY; Department of Hand and Microsurgery, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha, 410000, China.
  • Yu F; Department of Hand and Microsurgery, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha, 410000, China. yufang_csu@126.com.
J Orthop Surg Res ; 19(1): 533, 2024 Sep 02.
Article en En | MEDLINE | ID: mdl-39218944
ABSTRACT

BACKGROUND:

The reconstruction of complex wounds of the hand still has challenges in achieving aesthetic, functional and sensory recovery. We presented our experience of using the polyfoliate and chimeric radial collateral artery perforator flaps (RCAPF) to repair complex hand defects, aiming to explore the feasibility of special-form RCAPFs in hand coverage and enhance the comprehension of their respective indications.

METHODS:

From June 2014 to March 2021, 26 cases (19 males and 7 females, mean 44.4 years) underwent defect and sensation reconstruction of their hands with special-form RCAPFs, which manifested as multiple adjacent or irregular single wounds and composite tissue defects complicated with a degree of nerve injury. The clinical effects of the free RCAPFs were evaluated by integrating the postoperative and long-term follow-up outcomes of all cases.

RESULTS:

Altogether 8 polyfoliate flaps, 17 chimeric flaps and 1 polyfoliate-chimeric flap were harvested. Of them, 23 flaps survived uneventfully in one stage. Venous congestion occurred in 3 cases, two of which survived through vascular exploration and another one was finally repaired by the contralateral RCAPF. The follow-up results showed that the appearance of both the recipient and donor sites mostly recovered satisfactory. All the bone flaps properly healed. The BMRC sensory evaluation results of all skin flaps were S4 in 8 flaps, S3 in 18 flaps, and S2 in 9 flaps.

CONCLUSIONS:

The free RCAPFs can be designed in various forms with a reliable blood supply, contributing to reconstructing simple and multiple wounds of the hand with or without bone defects and dead space.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Arteria Radial / Procedimientos de Cirugía Plástica / Colgajo Perforante / Traumatismos de la Mano Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Orthop Surg Res Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Arteria Radial / Procedimientos de Cirugía Plástica / Colgajo Perforante / Traumatismos de la Mano Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Orthop Surg Res Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido