Treatment of Toe-to-toe Defect with Arterial Skin Flap

  • Jingbin Zhu
  • Lei Shen
  • Ying Xia
  • Zhengui Guo
Keywords: Skin flap, Hallux defect, Repair, Effect observation

Abstract

Objective: To study the repairing effect of arterial skin flap on the toe defect. Methods: Six patients with hallux defect were treated in our hospital from February 2014 to February 2016. The skin flap of the thumb was used to repair the defect. Results: After the operation, the skin flap had symptom of venous crisis. One patient survived after the dressing and partial removal of the pedicle of the flap. The other 5 cases survived and the wounds were healed. The skin grafts in the donor site survived and the incision reached grade I healing. The average follow-up period was 10 months. The flap elasticity and texture were good. Patients’ foot felt with burden, with normal walking, without obvious discomfort and without ulceration. Conclusion: The toe-to-toe defect is repaired with the arterial skin flap. The skin flap does not cause damage to the blood vessels, and the clinical result is ideal.

References

1. Zhao M, Shao X, Wu J, et al. Transfer of radial artery superficial palmar branch composite tissue flap for finger reconstruction. Chinese Journal of Hand Surgery, 2014,30 (5): 333-336. doi: 10.3760/cma.j.issn.1005-054X.2014.05.006
2. Ozcanli H, Coskunfirat OK, Bektas G, et al. Innervated digital artery perforator flap. J Hand Surg Am, 2013, 38 (2): 350-356. doi: http://dx.doi.org/10.1016/j.jhsa.2012.10.019
3. Zhang D, Ding F, Zhou C, et al. Repair of finger skin defect with the dorsal perforator flap of the dorsal ramus. Chinese Journal of Microsurgery, 2014,37 (4): 396-398. doi: 10.3760/cma.j.issn.1001-2036.2014.04.026
4. Lu S, Qin X, Zhao J, et al. Comparison of repair distal soft tissue defect with two kind of reverse digital artery island flaps. Chinese Journal of Microsurgery, 2013,35 (2): 132-134. doi 10.3760/cma.j.issn.1001-2036.2012.02.016
5. Jeon BJ, Yang JW, Roh SY, et al. Microsurgical reconstruction of soft-tissue defects in digits. Injury, 2013, 44 (3): 356-360. doi: 10.1016/j.injury.2013.01.021
Published
2017-07-20
Section
Original Research Article