TẠO HÌNH KHUYẾT PHẦN MỀM NGÓN V BẰNG VẠT MẠCH XUYÊN Ô MÔ ÚT: BÁO CÁO 1 CA LÂM SÀNG

Abstract

There are different approaches for reconstruction of little finger and dorsal hand defects. The ulnar parametacarpal flap, first introduced by Backhach et al in 1995, is considered a good option for reconstructing such defects. We provide a case of effective peforator-based ulnar parametacarpal flap repair of a soft tissue defect of the little finger. A 37 year old male patient was diagnosed with a 4x1.5 cm soft tissue defect in his little finger and a left thumb injury from a workplace accident during the fifth hour. The patient had surgical suturing to close the tissue box in the thumb directly and to fill the little finger defect with an ulnar parametacarpal flap based on the perforator. The toe lobes are rounded, the nails are normal, the scars at the donor and recipient sites are a little overblown and have a slight stretch, the level of movement is moderate, the sensation of the donor and recipient sites is fully recovered, and the patient is happy with the surgical outcomes at 6 months after the procedure. For small finger coverage, using an ulnar parametacarpal flap based on perforators is the best option.