EFFECTIVENESS OF FREE ANASTOMOSIS CUTANEOUS NERVE DOUBLE ARTERIALIZED VENOUS FLAP GRAFT FOR REPAIRING FINGER DEFECT_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

 LUHui , WANGWengang , WUHuiling , LUORenman , WEIWei , WANGXudong

Department of Microsurgery, Tangxia Hospital of Dongguan, Dongguan Guangdong, 523710, P. R. China;

Corresponding author：

LUHui, Email: 40793814@qq.com

Keywords：

Finger defect; Forearm double arterialized venous flap; Anastomosis nerve; Wound repair

DOI：

10.7507/1002-1892.20140156

Video：

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Objective To explore the effectiveness of the free anastomosis cutaneous nerve double arterialized venous flap graft in repairing finger defect. Methods Between May 2010 and May 2013, 39 patients with finger defect were treated. There were 27 males and 12 females with an average age of 31 years (range, 17-45 years). The injury to admission time was 30-90 minutes (mean, 60 minutes). The causes included mechanical injury in 23 cases, crush injury in 11 cases, and other injury in 5 cases. The thumb was involved in 13 cases, the index finger in 11 cases, the middle finger in 9 cases, the ring finger in 4 cases, and the little finger in 2 cases. Skin soft tissue defect ranged from 2 cm×1 cm to 4 cm×2 cm. of them, 22 cases had tendon injury, 17 cases had tendon and phalanx injuries. The size of free anastomosis cutaneous nerve double arterialized venous flap ranged from 2.5 cm×1.5 cm to 4.5 cm×2.5 cm. The donor site was directly sutured. Results Tension blister and swelling were observed at distal flap in 5 cases at 3-5 days after operation and were cured after symptomatic treatment; the other 34 flaps survived, and wound healed by first intention. Primary healing at donor site was obtained. The patients were followed up 6-12 months (mean, 9 months). The flap appearance and texture were good with two-point discrimination of 6-9 mm (mean, 7.5 mm). According to the upper extremity function evaluation criteria issued by the Hand Surgery Society of Chinese Medical Association, the results were excellent in 35 cases and good in 4 cases. Conclusion The free anastomosis cutaneous nerve double arterialized venous flap not only can ensure the flap blood supply, but also can obviously improve the sensory function of the flap, which greatly reduces the risk of postoperative flap atrophy, and can achieved satisfactory effectiveness.

Citation： LUHui, WANGWengang, WUHuiling, LUORenman, WEIWei, WANGXudong. EFFECTIVENESS OF FREE ANASTOMOSIS CUTANEOUS NERVE DOUBLE ARTERIALIZED VENOUS FLAP GRAFT FOR REPAIRING FINGER DEFECT. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(6): 707-709. doi: 10.7507/1002-1892.20140156 Copy

1.	Yoshimura M, Shimada T, Imura S, et al. The venous skin graft methocl for repairing Skin defects of the fingers. Plast Reconstr Surg, 1987, 79(2):243-250.
2.	Moshammer HE, Schwarzl FX, Haas FM, et al. Retrograde arterialized venous flap:an experimental study. Microsurgery, 2003, 23(2):130-134.
3.	陈剑名, 粱建, 陈正耿. 动脉化静脉皮瓣微循环方式的实验研究. 中国修复重建外科杂志, 2002, 16(3):170-172.
4.	李瑞华, 阚世廉, 李明新. 动脉化静脉皮瓣急诊修复手指软组织缺损. 中国修复重建外科杂志, 2008, 22(7):797-799.
5.	杨卫东, 童致虹, 孙焕伟, 等. 动脉化静脉皮瓣修复手指软组织缺损. 中国修复重建外科杂志, 2007, 21(6):656-657.
6.	刘学贵, 张铭盛, 杨俊贵, 等. 改良动脉化游离静脉皮瓣的临床应用. 中华手外科杂志, 2007, 23(4):224-226.
7.	潘达德, 顾玉东, 侍德, 等. 中华医学会手外科学会上肢部分功能评定试用标准. 中华手外科杂志, 2000, 16(3):130-135.
8.	刘秉锐, 马洪光, 纪善燕. 指动脉逆行皮瓣与邻指皮瓣瓦合修复单指中远节皮肤缺损. 中国修复重建外科杂志, 2005, 19(4):286.
9.	杨华, 刘传太, 唐葆青, 等. 带蒂皮瓣修复手指软组织缺损. 中国修复重建外科杂志, 2004, 18(4):341-342.
10.	张磊, 于华, 王培森. 逆行邻指指动脉岛状皮瓣修复全指腹缺损. 实用手外科杂志, 2007, 21(3):161.
11.	王文德, 王鑫, 赵亮, 等. 带蒂邻指指动脉岛状皮瓣修复手指皮肤缺损. 中华手外科杂志, 2007, 23(1):7.
12.	刘爱波, 姜德欣, 李大为. 邻指指动脉岛状皮瓣的临床应用. 中华手外科杂志, 2006, 22(3):182.
13.	王怀玉, 王宝, 张明慧, 等. 指动脉岛状皮瓣在手指电烧伤中的应用. 实用手外科杂志, 2008, 22(2):109.
14.	柏树令. 系统解剖学. 6版. 北京:人民卫生出版社, 2004:401.
15.	张世民, 徐达传. 带皮神经及其营养血管的皮瓣. 中国临床解剖学杂志, 1996, 14(4):313-315.
16.	徐亚非, 伍美艺, 张德军, 等. 应用改良动脉化静脉皮瓣修复指部软组织缺损. 中华显微外科杂志, 2011, 34(4):321-322.

1. Yoshimura M, Shimada T, Imura S, et al. The venous skin graft methocl for repairing Skin defects of the fingers. Plast Reconstr Surg, 1987, 79(2):243-250.
2. Moshammer HE, Schwarzl FX, Haas FM, et al. Retrograde arterialized venous flap:an experimental study. Microsurgery, 2003, 23(2):130-134.
3. 陈剑名, 粱建, 陈正耿. 动脉化静脉皮瓣微循环方式的实验研究. 中国修复重建外科杂志, 2002, 16(3):170-172.
4. 李瑞华, 阚世廉, 李明新. 动脉化静脉皮瓣急诊修复手指软组织缺损. 中国修复重建外科杂志, 2008, 22(7):797-799.
5. 杨卫东, 童致虹, 孙焕伟, 等. 动脉化静脉皮瓣修复手指软组织缺损. 中国修复重建外科杂志, 2007, 21(6):656-657.
6. 刘学贵, 张铭盛, 杨俊贵, 等. 改良动脉化游离静脉皮瓣的临床应用. 中华手外科杂志, 2007, 23(4):224-226.
7. 潘达德, 顾玉东, 侍德, 等. 中华医学会手外科学会上肢部分功能评定试用标准. 中华手外科杂志, 2000, 16(3):130-135.
8. 刘秉锐, 马洪光, 纪善燕. 指动脉逆行皮瓣与邻指皮瓣瓦合修复单指中远节皮肤缺损. 中国修复重建外科杂志, 2005, 19(4):286.
9. 杨华, 刘传太, 唐葆青, 等. 带蒂皮瓣修复手指软组织缺损. 中国修复重建外科杂志, 2004, 18(4):341-342.
10. 张磊, 于华, 王培森. 逆行邻指指动脉岛状皮瓣修复全指腹缺损. 实用手外科杂志, 2007, 21(3):161.
11. 王文德, 王鑫, 赵亮, 等. 带蒂邻指指动脉岛状皮瓣修复手指皮肤缺损. 中华手外科杂志, 2007, 23(1):7.
12. 刘爱波, 姜德欣, 李大为. 邻指指动脉岛状皮瓣的临床应用. 中华手外科杂志, 2006, 22(3):182.
13. 王怀玉, 王宝, 张明慧, 等. 指动脉岛状皮瓣在手指电烧伤中的应用. 实用手外科杂志, 2008, 22(2):109.
14. 柏树令. 系统解剖学. 6版. 北京:人民卫生出版社, 2004:401.
15. 张世民, 徐达传. 带皮神经及其营养血管的皮瓣. 中国临床解剖学杂志, 1996, 14(4):313-315.
16. 徐亚非, 伍美艺, 张德军, 等. 应用改良动脉化静脉皮瓣修复指部软组织缺损. 中华显微外科杂志, 2011, 34(4):321-322.

Chinese Journal of Reparative and Reconstructive Surgery

EFFECTIVENESS OF FREE ANASTOMOSIS CUTANEOUS NERVE DOUBLE ARTERIALIZED VENOUS FLAP GRAFT FOR REPAIRING FINGER DEFECT

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