TY - JOUR
T1 - Reconstruction of complete circumferential degloving injury of a digit with a sensate medial sural artery perforator flap
AU - Lin, Chin-Ta
AU - Ou, Kuang-Ling
AU - Chen, Shyi-Gen
AU - Chen, Tim-Mo
AU - Chang, Shun-Cheng
N1 - Export Date: 21 March 2016
通訊地址: Chang, S.-C.; Division of Plastic and Reconstructive Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, No. 325, Sec. 2, Cheng-gong Road, Taipei 114, Taiwan; 電子郵件: [email protected]
參考文獻: Urbaniak, J.R., Evans, J.P., Bright, D.S., Microvascular management of ring avulsion injuries (1981) J Hand Surg, 6, pp. 25-30; Beasley, R.W., Principles of soft tissue replacement for the hand (1983) J Hand Surg, 8, pp. 781-784; Martin, C., Gonzales del Pino, J., Controversies in the treatment of fingertip amputations (1998) Clin Orthop, pp. 63-73; Foucher, G., Koury, R.K., Digital reconstruction with hand flaps (1997) Clin Plast Surg, 24, pp. 1-32; Ishiko, T., Nakaima, N., Suzuki, S., Free posterior interosseous artery perforator flap for finger reconstruction (2009) J Plast Reconstr Aesthet Surg, 62, pp. e211-215. , doi: 10.1016/j.bjps.2009.01.065; Chen, S.L., Chou, G.H., Chen, T.M., Wang, H.J., Salvage of completely degloved finger with a posterior interosseous free flap (2001) Br J Plast Surg, 54, pp. 69-71; Adani, R., Castagnetti, C., Landi, A., Degloving injuries of the hand and fingers (1995) Clin Orthop Relat Res, 314, pp. 19-25; Yamauchi, T., Yajima, H., Kizaki, K., Kobata, Y., Fukui, A., Tamai, S., Sensory reconstruction in sensate radial forearm flap transfer J Reconstr Microsurg 2000, 16, pp. 593-595; Yu, P., Selber, J., Perforator patterns of the anteromedial thigh flap (2011) Plast Reconstr Surg, 128, pp. 151e-157e; Lin, C.H., Lin, C.H., Lin, Y.T., Hsu, C.C., Ng, T.W., Wei, F.C., The medial sural artery perforator flap: A versatile donor site for hand reconstruction (2011) J Trauma, 70, pp. 736-743. , doi: 10.1097/ TA.0b013e318203179e; Inigo, F., Gargollo, C., Secondary coverage of the hand using a dorsalis pedis plus first web space free flap (1992) J Reconstr Microsurg, 8, pp. 461-465; Woo, S.H., Choi, B.C., Oh, S.J., Seul, J.H., Classification of the first web space free flap of the foot and its applications in reconstruction of the hand (1999) Plast Reconstr Surg, 103, pp. 508-517; Javaid, M., Cormack, G.C., Anterolateral thigh free flap for complex soft tissue hand reconstructions (2003) J Hand Surg, 28 B, pp. 21-27; Ulrich, D., Pallua, N., Treatment of avulsion injury of three fingers with a compound thoracodorsal artery perforator flap including serratus anterior fascia (2009) Microsurgery, 29, pp. 556-559. , doi: 10.1002/micr.20650; Atzei, A., Pignatti, M., Udali, G., Cugola, L., Maranzano, M., The distal lateral arm flap for resurfacing of extensive defects of the digits (2007) Microsurgery, 27, pp. 8-16; Logan, A., Elliot, D., Foucher, G., Free toe pulp transfer to restore traumatic digital pulp loss (1985) Br J Plast Surg, 38, pp. 497-500; Morrison, W.A., Thumb and fingertip reconstruction by composite microvascular tissue from the toes (1992) Hand Clin, 8, pp. 537-550; Rui, Y., Mi, J., Shi, H., Zhang, Z., Yan, H., Free great toe wrap-around flap combined with second toe medial flap for reconstruction of completely degloved fingers (2010) Microsurgery, 30, pp. 449-456. , doi: 10.1002/ micr.20777; Wang, X., Mei, J., Pan, J., Chen, H., Zhang, W., Tang, M., Reconstruction of distal limb defects with the free medial sural artery perforator flap (2013) Plast Reconstr Surg, 131, pp. 95-105. , doi: 10.1097/ PRS.0b013e3182729e3c; Adani, R., Busa, R., Castagnetti, C., Castagnini, L., Caroli, A., Replantation of degloved skin of the hand (1998) Plast Reconstr Surg, 101, pp. 1544-1551; Tremolada, C., Ponzielli, P., Candiani, P., Donati, L., The subcutaneous laterodigital reverse flap (1998) Plast Reconstr Surg, 101, pp. 1070-1074; Adani, R., Marcoccio, I., Tarallo, L., Fregni, U., The reverse heterodigital neurovascular island flap for digital pulp reconstruction (2005) Tech Hand Up Extrem Surg, 9, pp. 91-95; Vuppalapati, G., Oberlin, C., Balakrishnan, G., Distally based dorsal hand flaps: Clinical experience, cadaveric studies and an update (2004) BJPS, 57, pp. 653-667; Yamada, N., Ui, K., Uchinuma, E., The use of a thin abdominal flap in degloving finger injuries (2001) Br J Plast Surg, 54, pp. 434-438; Lee, W.P.A., Salyapongse, A.N., Thumb reconstruction (2005) Green's Operative Hand Surgery, pp. 1865-1912. , Green DP, Hotchkiss RN, Pederson WC, Wolfe SW, editors, 5th ed. New York: Churchill Livingstone; Inigo, F., Gargollo, C., Secondary coverage of the hand using a dorsalis pedis plus first web space free flap (1992) J Reconstr Microsurg, 8, pp. 461-465; Koshima, I., Soeda, S., Inferior epigastric artery skin flaps without rectus abdominis muscle (1989) Br J Plast Surg, 42, pp. 645-648; Koshima, I., Fukuda, H., Utunomiya, R., Soeda, S., The anterolateral thigh flap: Variations in its vascular pedicle (1989) Br J Plast Surg, 42, pp. 260-262; Chen, S.L., Yu, C.C., Chang, M.C., Deng, S.C., Wu, Y.S., Chen, T.M., Medial sural artery perforator flap for intraoral reconstruction following cancer ablation (2008) Ann Plast Surg, 61, pp. 274-279. , doi: 10.1097/ SAP.0b013e318157a1a0; Cavadas, P.C., Sanz-Gimenez-Rico, J.R., Gutierrez-De la camara, A., Navarro-Monzonís, A., Soler-Nomdedeu, S., Martínez-Soriano, F., The medial sural artery perforator free flap (2001) Plast Reconstr Surg, 108, pp. 1609-1615
PY - 2013
Y1 - 2013
N2 - Complete circumferential degloving injury of the digits usually results in a large cutaneous defect with tendinous structures, bone and joint exposure. When revascularization is not possible, a thin and adequately sized flap is required to resurface the defect, restore finger function, and prevent amputation. This report presents our experience with reconstruction of the entire circumferential degloving injury of the digit using a free sensate medial sural artery (MSA) perforator flap. The donor site was covered with split-thickness skin graft (STSG) and healed without complications. Furthermore, the MSA flap was thin and did not interfere with finger movements. The patients could attain smooth finger contours, acceptable function results, and adequate protective sensation after reconstruction. Patient satisfaction for the resurfaced digit scored 9 on a 10-point visual analogic pain intensity scale. This method may provide a valuable alternative for reconstruction of entire circumferential avulsion injury of the digit. © 2013 JMS.
AB - Complete circumferential degloving injury of the digits usually results in a large cutaneous defect with tendinous structures, bone and joint exposure. When revascularization is not possible, a thin and adequately sized flap is required to resurface the defect, restore finger function, and prevent amputation. This report presents our experience with reconstruction of the entire circumferential degloving injury of the digit using a free sensate medial sural artery (MSA) perforator flap. The donor site was covered with split-thickness skin graft (STSG) and healed without complications. Furthermore, the MSA flap was thin and did not interfere with finger movements. The patients could attain smooth finger contours, acceptable function results, and adequate protective sensation after reconstruction. Patient satisfaction for the resurfaced digit scored 9 on a 10-point visual analogic pain intensity scale. This method may provide a valuable alternative for reconstruction of entire circumferential avulsion injury of the digit. © 2013 JMS.
KW - Degloving injury
KW - Digit
KW - Free medial sural flap
KW - Sensate flap
KW - adult
KW - article
KW - case report
KW - end to end anastomosis
KW - finger amputation
KW - finger injury
KW - human
KW - human tissue
KW - index finger
KW - male
KW - radial artery
KW - radial nerve
KW - sensate medial sural artery perforator flap
KW - skin sensation
KW - sural nerve
KW - tissue flap
KW - vascular pedicle
U2 - 10.6136/JMS.2013.33(6).357
DO - 10.6136/JMS.2013.33(6).357
M3 - Article
SN - 1011-4564
VL - 33
SP - 357
EP - 360
JO - Journal of Medical Sciences (Taiwan)
JF - Journal of Medical Sciences (Taiwan)
IS - 6
ER -