Repair of Minor Tissue Defect in Hand by Transfer of Free Tissue Flap from the Toe

Tan, Haitao and Luo, Xiang and Yang, Keqin and Jiang, Jianzhong and Wei, Pingou and Zhao, Jinming (2014) Repair of Minor Tissue Defect in Hand by Transfer of Free Tissue Flap from the Toe. The Archives of Bone and Joint Surgery, 2 (1). pp. 11-16.

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Background: To introduce our experience of using the free neurovascular flap from great and second toe. Methods: Thirteen patients (fifteen fingers) sought surgical treatment for soft tissue defects of the hand at our medical institutin between March 2006 and September 2009. In two patients, fibular side skin-nail flaps of great toe were applied to cover the dorsal defect of distal thumb. In twelve, in the treatment of pulp defect of finger with fibular side flap of great toe or tibial side flap of second toe. In one, in the treatment of defect of distal middle with composite flap with distal digital bone of second toe. Results: All flaps were survived. The average subjective satisfaction score was 8.08 (range 4-10). Nine patients (69) experienced cold intolerance, and 2 patients (15) dysesthesia. The Semmes-Weinstein sensitivity score was between 3.47and 4.72 on the flap, and 0-4.18 on the donor site. The mean two-point discrimination was 6.8 mm (range 4-12). Grip strength was 10 less than in the unaffected hand. The proximal interphalangeal mobility loss was less than 15 degrees. Conclusions: Our results indicated that these free flaps from toe are useful for patients with a small soft-tissue defect in hand.

Item Type: Article
Subjects: WE Musculoskeletal system
WO Surgery
Divisions: Journals > Archives of Bone & Joint Surgery
Depositing User: abjs abjs
Date Deposited: 28 Sep 2017 16:11
Last Modified: 28 Sep 2017 16:11

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