gms | German Medical Science

58. Kongress der Deutschen Gesellschaft für Handchirurgie

Deutsche Gesellschaft für Handchirurgie

12. - 14.10.2017, München

Medial Sural Artery Perforator Flap for Hand

Meeting Abstract

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  • corresponding author presenting/speaker Juan Liu - Wuhan Union Hospital, Wuhan, China
  • Huaiyuan Zheng - Wuhan Union Hospital, Wuhan, China
  • Tao Li - Wuhan Union Hospital, Wuhan, China
  • Zhenbing Chen - Wuhan Union Hospital, Wuhan, China

Deutsche Gesellschaft für Handchirurgie. 58. Kongress der Deutschen Gesellschaft für Handchirurgie. München, 12.-14.10.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. Doc17dgh057

doi: 10.3205/17dgh057, urn:nbn:de:0183-17dgh0574

Published: October 10, 2017

© 2017 Liu et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.


Outline

Text

Objectives: In general, complex hand trauma is a catastrophe with both skin loss and multiple tendon and nerve defect, which remains a great challenge to the hand and plastic surgeons. An ideal donor site can not only provide a fasciocutaneous coverage, but also can serve as a source for tendon and nerve graft.

Method: From Sep 2010 to Dec 2016, 22 male patients suffering hand defects were reconstructed with medial sural artery perforator flaps (MSAP). The mean age of the patients was 31 years, and the size of the flaps ranged from 5x3 cm to 14x7 cm. A segment of planaris tendon and/or sural nerve was harvested as the graft to bridge the tendon or nerve defects in 9 patients. The donor sites were closed primarily (15 cases) or with a split thickness skin graft (7 cases). MSAP is also described in terms of its surgical anatomy and elevation technique.

Results: All the flaps survived except one case. All Patients were satisfied with the aesthetic and functional outcome of the reconstructed hand. Donor site morbidity was minimal and no complaints was found.

Conclusion: MSAP flap is a good candidate for hand coverage and it offers a versatile donor site for the simultaneous reconstruction of tendon and nerve in the hand without low donor site morbidity.