The Journal of Practical Medicine >

2023 , Vol. 39 >Issue 16: 2095 - 2099

DOI: https://doi.org/10.3969/j.issn.1006-5725.2023.16.014

Clinical Research

Repairing large skin defect of hand with modified ulnar artery perforator flap

  • Hui WANG ,
  • Hongtao WANG ,
  • Xinwei JIA ,
  • Yihan ZHANG
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  • WANG Haifeng，YANG Xiaoxi. *Department of Hand Surgery，Second Hospital of Tangshan City，Tangshan 063000，China

Received date: 2023-04-24

  Online published: 2023-09-26

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Abstract

Objective To investigate the clinical effectiveness of modified ulnar artery perforator flap to repair large skin defect of hand. Methods From September 2012 to August 2021， the clinical data of 56 patients with large skin defect of hand who met the selection criteria in hand surgery department of the Second Hospital of Tangshan were retrospectively analyzed. According to whether the vein of the flap is anastomosed during the operation， they were divided into modified group （30 cases， from February 2017 to August 2021） and traditional group （26 cases， from September 2012 to January 2017）. The operation time， follow?up time， hospital stay， tension blister rate， survival rate of the flaps and patient satisfaction with flap appearance at final follow-up were compared between the two groups. Results All operations were successfully completed in both groups. There was no significant difference of follow?up time in both groups （P > 0.05）. The operation time of the modified group was longer than that of the traditional group， but the hospital stay was shorter than that of the traditional group， the incidence of tension blisters of the flaps were lower than that of the traditional group， the survival rate of the flaps were higher than that in traditional group， and patient satisfaction with flap appearance at final follow-up was better than that of the traditional group. There were statistically significant differences in terms of the operation time， hospital stay， tension blister rate， survival rate and appearance satisfaction of the flaps （P < 0.05）. Conclusion Compared with the traditional ulnar artery perforator flap， the modified ulnar artery perforator flap with vein anastomosis has lower incidence of tension blisters， higher survival rate， shorter hospital stay and better appearance.

Key words： surgical flaps; ulnar artery perforator flap; hand skin defect; superdrainage; venous anastomosis; wound repair

Cite this article

Hui WANG , Hongtao WANG , Xinwei JIA , Yihan ZHANG . Repairing large skin defect of hand with modified ulnar artery perforator flap[J]. The Journal of Practical Medicine, 2023 , 39(16) : 2095 -2099 . DOI: 10.3969/j.issn.1006-5725.2023.16.014

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