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  • Title: [Treatment of soft tissue defects of palm and proximal fingers with double vascular pedicle flaps].
    Author: Sun Z, Mu W, Wang L.
    Journal: Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi; 2004 Nov; 18(6):454-6. PubMed ID: 15586698.
    Abstract:
    OBJECTIVE: To establish a new operative method to repair defects of palm and proximal fingers with double vascular pedicle flaps. METHODS: From August 1992 to June 2000, 20 cases of soft tissue defects of palm and fingers were repaired with double vascular pedicle flaps. Twenty patients included 9 males and 11 females, aged 17-35 years. The causes were crush, avulsion, and so on. The interval between injury and operation was 3-11 hours. The wound area ranged from 8 cm x 12 cm to 10 cm x 20 cm. We devised the two side flaps on pectoral-umbilical place with well-known blood vessel to cover flexion and extension regions of palm and the multi-lobes skin flap to cover defect of fingers simultaneously. RESULTS: Out of 20 patients, 19 were followed up 8-12 months with an average of 9.8 months. All the flaps survived completely. The skin colour and the contour of the palm and digits were good. CONCLUSION: The double vascular pedicle flap is one of the best choices to repair soft tissue defect of the palm and proximal fingers; the procedure is simple and the operation is extended easily.
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