THE RESULTS OF USING THE LOCAL PEDICLE FLAP IN THE SOFT TISSUE RECONSTRUCTION OF FINGERS DEFECTS AT THAI NGUYEN NATIONAL HOSPITAL

Hồng Ái Vũ 1,, Văn Dung Hoàng2, Văn Hai Phạm 2, Mạnh Cường Vũ 2, Văn Công Tạ 2
1 Thai Nguyen University Of Medicine And Pharmacy
2 Thai nguyen central hospital

Main Article Content

Abstract

Objectives: The evaluate preliminary results of using the local pedicle flap in the soft tissue reconstruction of  fingers at Thai Nguyen national hospital. Material and method: From January 2020 to January 2023, 30 flaps were used in the reconstruction of soft tissue defects in  fingers for 28 patients at the Department of Traumatology – Orthopedic. There  were 15 males and 13 females, with an average age of 35 (range 18 to 60) years. The average follow-up time was 28 months. The clinical outcome was assessed by a Self-Designed Tool based on flap survival, coverage of defect. There were no cases of bleeding at the donor and recipient sites, no infection at the donor sites. There are 1/30 infected fingers where the flap is received. There are 4/30 flaps with partial necrosis of less than 1/3 of the area, 12/30 flaps have temporary venous stasis in the flap. Conclusion: The local pedicle  flap are trustful material to reconstruct soft tissue defects of fingers.

Article Details

References

1. Aboulwafa, A and Emara, S %J Egypt J Plast Reconstr Surg (2013), "Versatility of Homodigital Islandized Lateral VY Flap for Reconstruction of Fingertips and Amputation Stumps". 37, pp. 89-96.
2. Beasley, Robert W %J The Journal of Hand Surgery (1983), "Principles of soft tissue replacement for the hand". 8(5), pp. 781-784.
3. Gebhard, B and Meissl, G %J Journal of Hand Surgery (1995), "An extended first dorsal metacarpal artery neurovascular island flap". 20(4), pp. 529-531.
4. Lee, Jung Soo and Kim, Yeo Hyung %J Medicine (2019), "Factors associated with limited hand motion after hand trauma". 98(3).
5. Ozcanli, Haluk, et al. (2015), "Reconstruction of fingertip defects with digital artery perforator flap". 49(1), pp. 18-22.
6. Định, Vũ Nhất and Ngẫu;, Nguyễn Văn (2009), "SỬ DỤNG VẠT DA - CÂN TRÊN MẮT CÁ NGOÀI HÌNH ĐẢO CUỐNG NGOẠI VI ĐIỀU TRỊ KHUYẾT HỔNG PHẦN MỀM VÙNG 1/3 DƯỚI CẲNG CHÂN, QUANH KHỚP CỔ CHÂN, MU CHÂN Và CỦ GÓT", Y học thực hành. 664, pp. 22-24.
7. Huy, Võ Tiến, Lương, Vũ Văn, and Long, Lê Phi (2013), "ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ KHUYẾT HỔNG PHẦN MỀM CƠ QUAN VẬN ĐỘNG BẰNG CÁC VẠT DA CÂN CÓ CUỐNG MẠCH LIỀN", Y học thực hành. 874.