Clinical observation of superficial branch of radial artery wrist crease flap for repairing ring tissue defect of fingers_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

CHENG Ding ¹ ,  HU Junsheng ² , CUI Shuying ¹ , ZHANG Jichao ² , LI Dongfang ² , SHI Rongjian ² , XU Li ² , SHOU Kuishui ²

1. Department of Burns and Plastic Surgery, Pingdingshan Traditional Pingmei Shenma Medical Hospital, Pingdingshan Henan, 467000, P.R.China;
2. Department of Hand and Foot Microsurgery, Xuzhou Renci Hospital, Xuzhou Jiangsu, 221000, P.R.China;

Corresponding?author：

HU Junsheng, Email: hjs120@139.com

Keywords：

Superficial branch of radial artery; wrist crease flap; ring finger tissue defect; repair

DOI：

10.7507/1002-1892.201703096

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the effectiveness and operation method of the superficial branch of radial artery wrist crease flap for repair of ring tissue defect of the fingers. Methods Between June 2013 and March 2016, the superficial branch of radial artery wrist crease flap was used to repair ring finger tissue defect in 20 cases (21 fingers). There were 14 males and 6 females with an average age of 39.3 years (range, 12-61 years). The causes included machine injury in 9 cases, traffic accident injury in 6 cases, heat inury in 2 cases, and avulsed injury in 3 cases. The index finger was involved in 6 cases, middle finger in 6 cases, ring finger in 3 cases, and little finger in 6 cases. Combined injuries included exposure of bone, tendon, vessel, and nerve. The mean time of injury to operation was 3 hours (range, 0.5-5.5 hours) in 17 patients undergoing emergency operation, and was 8.5 days (range, 7-10 days) in 3 patients undergoing selective operation. The superficial palmar branch of the radial artery from the flap was used for bridging proper digital artery. The donor site was directly sutured in 19 cases and was repaired by skin grafting in 1 case. Results One case had blood blister at distal flap, which was cured after dressing change; the other flaps survived, and primary healing was obtained. Healing of incision at the donor site healed by first intention. The patients were followed up 6-24 months (mean, 12 months). The appearance, texture, and color of the flaps were satisfactory. The two-point discrimination ranged from 6 to 13 mm (mean, 9 mm) at 6 months after operation. According to the Chinese Medical Association Society of hand surgery of thumb and finger reconstruction function evaluation standard, the results were excellent in 13 cases, good in 4 cases, and fair in 3 cases; the excellent and good rate was 85%. Conclusion The superficial branch of radial artery wrist crease flap is an ideal choice for the repair of ring tissue defect of the fingers.

Citation： CHENG Ding, HU Junsheng, CUI Shuying, ZHANG Jichao, LI Dongfang, SHI Rongjian, XU Li, SHOU Kuishui. Clinical observation of superficial branch of radial artery wrist crease flap for repairing ring tissue defect of fingers. Chinese Journal of Reparative and Reconstructive Surgery, 2017, 31(7): 837-840. doi: 10.7507/1002-1892.201703096 Copy

1.	張世明, 王欣, 唐茂林, 等. 穿支皮瓣的爭論與當前共識. 中華顯微外科雜志, 2014, 37(1): 3-4.
2.	芮永軍, 張雁, 楊紅, 等. 術前不同定位方法在股前外側穿支皮瓣應用的對比分析. 中華顯微外科雜志, 2015, 38(1): 33-37.
3.	尚修超, 張乃臣, 劉宏君, 等. 游離橈動脈掌淺支皮瓣修復手指軟組織缺損. 中華手外科雜志, 2015, 31(1): 77.
4.	鄭大偉, 黎章燦, 曹廣超, 等. 多種類型的橈動脈掌淺支腕橫紋部游離皮瓣修復手指復合軟組織缺損. 中華顯微外科雜志, 2016, 39(1): 12-16.
5.	金日浩, 王夫平, 冷樹立. 橈動脈淺支皮瓣修復指腹缺損的臨床應用. 臨床外科雜志, 2013, 21(9): 709-710.
6.	潘達德, 顧玉東, 侍德, 等. 中華醫學會手外科學會上肢部分功能評定試用標準. 中華手外科雜志, 2000, 16(3): 130-135.
7.	Muyldermans T, Hierner R. First dorsal metacarpal artery flap for thumb reconstruction: a retrospective clinical study. Strategies Trauma Limb Reconstr, 2009, 4(1): 27-33.
8.	沈永輝, 季衛平, 李浩. 帶感覺腕橫紋穿支皮瓣游離移植修復 16 例手指外傷缺損. 中華顯微外科雜志, 2016, 39(2): 193-194.
9.	朱小弟, 李文慶, 毛仁群, 等. 多種指動脈皮(筋膜)瓣修復手指軟組織缺損. 中華顯微外科雜志, 2015, 38(1): 77-79.
10.	馮仕明, 王愛國, 高順紅, 等. 手指中末節脫套傷的顯微外科治療. 中華顯微外科雜志, 2015, 38(4): 383-385.
11.	Song D, Deng X, Chen Y, et al. Thinned chimeric radial collateral artery perforator flap in complex distal thumb reconstruction. Archorthop Truama Surg, 2015, 135(11): 1623-1631.
12.	Sakai S. Free flap from the flexor aspect of the wrist for resurfacing defects of the hand and fingers. Plast Reconstr Surg, 2003, 111(4): 1412-1422.
13.	周曉, 許亞軍, 芮永軍, 等. 大魚際部穿支皮瓣在拇指及虎口狹長瘢痕攣縮中的應用. 中華整形外科雜志, 2013, 29(3): 181-183.
14.	費劍榮, 楊科躍, 孫濤, 等. 游離大魚際部穿支皮瓣修復指腹軟組織缺損. 中華手外科雜志, 2013, 29(3): 157-158.
15.	Zheng DW, Li ZC, Sun F, et al. Use of a distal ulnar artery perforator-based bilobed free flap for repairing complex digital defects. J Hand Surg (Am), 2014, 39(11): 2235-2242.
16.	Yang JW, Kim JS, Lee DC, et al. The radial artery superficial palmar branch flap: a modified free thenar flap with constant innervation. Reconstr Microsurg, 2010, 26(8): 529-538.
17.	Lee TP, Liao CY, Wu LC, et al. Free flap from the superficial palmar branch of the radial artery (SPBRA Flap) for finger reconstruction. Trauma, 2009, 66(4): 1173-1179.
18.	趙民, 田德虎, 邵新中, 等. 腕部掌側橈動脈掌淺支橫行微型皮瓣的解剖學研究. 中國修復重建外科雜志, 2013, 27(7): 864-868.

1. 張世明, 王欣, 唐茂林, 等. 穿支皮瓣的爭論與當前共識. 中華顯微外科雜志, 2014, 37(1): 3-4.
2. 芮永軍, 張雁, 楊紅, 等. 術前不同定位方法在股前外側穿支皮瓣應用的對比分析. 中華顯微外科雜志, 2015, 38(1): 33-37.
3. 尚修超, 張乃臣, 劉宏君, 等. 游離橈動脈掌淺支皮瓣修復手指軟組織缺損. 中華手外科雜志, 2015, 31(1): 77.
4. 鄭大偉, 黎章燦, 曹廣超, 等. 多種類型的橈動脈掌淺支腕橫紋部游離皮瓣修復手指復合軟組織缺損. 中華顯微外科雜志, 2016, 39(1): 12-16.
5. 金日浩, 王夫平, 冷樹立. 橈動脈淺支皮瓣修復指腹缺損的臨床應用. 臨床外科雜志, 2013, 21(9): 709-710.
6. 潘達德, 顧玉東, 侍德, 等. 中華醫學會手外科學會上肢部分功能評定試用標準. 中華手外科雜志, 2000, 16(3): 130-135.
7. Muyldermans T, Hierner R. First dorsal metacarpal artery flap for thumb reconstruction: a retrospective clinical study. Strategies Trauma Limb Reconstr, 2009, 4(1): 27-33.
8. 沈永輝, 季衛平, 李浩. 帶感覺腕橫紋穿支皮瓣游離移植修復 16 例手指外傷缺損. 中華顯微外科雜志, 2016, 39(2): 193-194.
9. 朱小弟, 李文慶, 毛仁群, 等. 多種指動脈皮(筋膜)瓣修復手指軟組織缺損. 中華顯微外科雜志, 2015, 38(1): 77-79.
10. 馮仕明, 王愛國, 高順紅, 等. 手指中末節脫套傷的顯微外科治療. 中華顯微外科雜志, 2015, 38(4): 383-385.
11. Song D, Deng X, Chen Y, et al. Thinned chimeric radial collateral artery perforator flap in complex distal thumb reconstruction. Archorthop Truama Surg, 2015, 135(11): 1623-1631.
12. Sakai S. Free flap from the flexor aspect of the wrist for resurfacing defects of the hand and fingers. Plast Reconstr Surg, 2003, 111(4): 1412-1422.
13. 周曉, 許亞軍, 芮永軍, 等. 大魚際部穿支皮瓣在拇指及虎口狹長瘢痕攣縮中的應用. 中華整形外科雜志, 2013, 29(3): 181-183.
14. 費劍榮, 楊科躍, 孫濤, 等. 游離大魚際部穿支皮瓣修復指腹軟組織缺損. 中華手外科雜志, 2013, 29(3): 157-158.
15. Zheng DW, Li ZC, Sun F, et al. Use of a distal ulnar artery perforator-based bilobed free flap for repairing complex digital defects. J Hand Surg (Am), 2014, 39(11): 2235-2242.
16. Yang JW, Kim JS, Lee DC, et al. The radial artery superficial palmar branch flap: a modified free thenar flap with constant innervation. Reconstr Microsurg, 2010, 26(8): 529-538.
17. Lee TP, Liao CY, Wu LC, et al. Free flap from the superficial palmar branch of the radial artery (SPBRA Flap) for finger reconstruction. Trauma, 2009, 66(4): 1173-1179.
18. 趙民, 田德虎, 邵新中, 等. 腕部掌側橈動脈掌淺支橫行微型皮瓣的解剖學研究. 中國修復重建外科雜志, 2013, 27(7): 864-868.

Chinese Journal of Reparative and Reconstructive Surgery

Clinical observation of superficial branch of radial artery wrist crease flap for repairing ring tissue defect of fingers

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content