Author/Authors :
-، - نويسنده Orthopedics Department, The Eight Affiliated Hospital of
Guangxi Medical University, 537100, Guigang, China Tan, Haitao , -، - نويسنده Orthopedics Department, The Eight Affiliated Hospital of
Guangxi Medical University, 537100, Guigang, China Luo, Xiang , -، - نويسنده Orthopedics Department, The Eight Affiliated Hospital of
Guangxi Medical University, 537100, Guigang, China Yang, Keqin , -، - نويسنده Orthopedics Department, The Eight Affiliated Hospital of
Guangxi Medical University, 537100, Guigang, China Jiang, Jianzhong , -، - نويسنده Orthopedics Department, The Eight Affiliated Hospital of
Guangxi Medical University, 537100, Guigang, China Wei, Pingou , -، - نويسنده Department of Hand Surgery, The First Affiliated Hospital
of Guangxi Medical University, 530000, Nanning, China Zhao, Jinming
Abstract :
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.
