Article
Repairing small soft tissue defect in the hand with various free micro-skin flaps
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Published: | February 6, 2020 |
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Objective: To investigate and summarize various free micro-skin flaps repairing small soft tissue defect in the hand.
Methods: From March 2014 to May 2015, 15 patients with soft tissue defect in the hand, including 12 males and 3 females, of which were repaired with various free micro-skin flaps, such as the free lateral metatarsal flap, the free medial plantar flap, the free perforator flap of the lateral iliac artery, the free perforator flap of the radial artery and the free wrist transverse flap. During the operation, avoiding to injury the perforating vascular pedicle for ensuring the blood supply of the flap. The wound was directly sutured except for the medial side of the plantar and the lateral donor site,which were repaired with skin grafting.
Results: All the free flaps survived and all the wounds healed in one stage. The patients were followed up during 6 months, with the average of 4 months. The color and texture of the flap is good.
Conclusion: According to the different situation of the injury, it is an efficient and quick method to design corresponding free micro-skin flap for repairing small soft tissue defect in the hand.