An improved technique for repairing hand defects with abdominal pedicled flaps

To explore the feasibility a modified method for repairing hand soft tissue defects using abdominal pedicle flaps. Between January 1997 and October 2010, abdominal pedicle flaps were used to repair hand soft tissue defects in 108 cases. A strategy of segmented skin-flap ligations was adopted for ear...

Full description

Saved in:
Bibliographic Details
Published inNan fang yi ke da xue xue bao = Journal of Southern Medical University Vol. 31; no. 10; p. 1771
Main Authors Huang, Shu-run, Li, Xiao-yi, Wang, Hao, Liu, Jiang-tao
Format Journal Article
LanguageChinese
Published China 01.10.2011
Subjects
Abdominal Wall
Adolescent
Adult
Burns - surgery
Child
Female
Hand Injuries - surgery
Humans
Male
Middle Aged
Reconstructive Surgical Procedures - methods
Soft Tissue Injuries - surgery
Surgical Flaps
Young Adult
Online AccessGet more information

Cover

More Information
Summary:To explore the feasibility a modified method for repairing hand soft tissue defects using abdominal pedicle flaps. Between January 1997 and October 2010, abdominal pedicle flaps were used to repair hand soft tissue defects in 108 cases. A strategy of segmented skin-flap ligations was adopted for early pedicle cut-off with early separation of the combined fingers, donor site closure with auxiliary flaps and application of thin flap and full-thickness skin graft. Ligation of the pedicle site only was performed in 68 cases with an average time of pedicle cut-off of 10 days. Pedicle cut-off and separation of the combined fingers were simultaneously performed in 40 cases without flap necrosis. The healing rate of the donor sites reached 96.8%. The method is simple, safe and reliable and allows simultaneous pedicle cut-off and separation of the combined fingers to ensure good functional and appearance recovery of the hand with soft tissue defect.
ISSN:1673-4254