gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Aesthetic reconstruction of palmar soft tissue defects with medial plantar artery perforator flap

Meeting Abstract

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  • presenting/speaker Shengbo Zhou - Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
  • Wenhai Sun - Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
  • Bin Wang - Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1329

doi: 10.3205/19ifssh0891, urn:nbn:de:0183-19ifssh08910

Veröffentlicht: 6. Februar 2020

© 2020 Zhou et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: Reconstruction of glabrous skin of palm and fingers is a great challenge for hand surgeons. The purpose of this study is to present our experience on using medial plantar artery perforator flaps to repair palmar soft tissue defects.

Methods: From 2005 to 2017, 21 patients received free medial plantar artery perforator (MPAP) flap to recover the soft tissue defects in palm or fingers. The causes of the defects included congenital hand malformation, tumor, scar contracture and trauma. A comparison has been made pre- and postoperatively about total active motion, flap survival rates, skin color and texture, static 2-point discrimination, range of motion(ROM) of the hands.

Results and Conclusions: The flap size ranged from 25mm x 15mm to 80mm x 40mm. All flaps survived in the mean follow-up period of 50 (36-120) months. The donor sites healed uneventfully in 20 cases, and mild wound dehiscence occurred in one case. At patients' last visits, the mean ROM was 245°.The mean s-2PD was 8.5mm. The mean Vancouver Scar Scale Score of the recipient sites and donor sites were 1.8 and 2.6, respectively. The donor foot functioned well. All the patients were satisfied with the results. In conclusion, medial plantar artery perforator flap is an ideal flap for aesthetic reconstruction of palmar soft tissue defects.