Free Superficial Radial Artery Flap for Traumatic Finger Defects

以表淺橈動脈自由皮瓣重建手指外傷性缺損

林志明(Chih-Ming Lin) ； 李俊達(Jiunn-Tat Lee) ； 鄭立福(Li-Fu Cheng) ； 王健興(Chien-Hsing Wang) ； 黃介琦(Chieh-Chi Huang) ； 簡守信(Sou-Hsin Chien)

《中華民國整形外科醫學會雜誌》 14卷2期 (2005/06) Pp. 131-139

https://doi.org/10.7096/JPSA.200506.0131

摘要

手指外傷常見於急診，而整形外科也常因這類問題被照會，有許多的皮瓣也被應用在這一類的重建手術上。自2003年1月至2004年4月，一共有6個個案因手指外傷而接受表淺橈動脈皮瓣重建手術，其中包括5位男性及1位女性病患，其中有兩位病患同時有兩手指外傷。平均年齡為33歲（25-44歲），平均皮瓣大小為6.6平方公分（3-12.5平方公分），所有的皮瓣都有存活，只有一位病患有部分壞死。有兩位病患同時接受神經重建手術，其術後半年的兩點辨識度分別為6及7公釐。
總結來說：這個皮瓣適合用來作手指小缺損的重建。它的好處為保留主要血管，薄、柔軟、少有毛髮；多樣性；並可幫助恢復感覺。

並列摘要

Management of traumatic finger injuries is common practice in the emergency department. Many local flaps or free flaps(superscript 1-11,16) have been advocated for the reconstructions of such conditions. Here we present a new flap designed by Sakai^11. From January 2003 to June 2004, six patients with fingertip injuries were treated with a superficial radial artery flap from the wrist. This series included one woman and five men, aged from 19- to 45-years-old. All suffered from traumatic crushing injury of the hands. In two patients, two fingers were covered with this flap simultaneously. All of the flaps were survived, except one patient with partial necrosis, which healed by secondary intension. All of the donor wounds were closed primarily and healed uneventful, except one patient with partial dehiscence of the wound edge and this healed by secondary intension. No other major complications were encountered.
In conclusion: This flap is suitable for small size defect of finger injury. The advantages include well preservation of the major artery; thin, pliable, hairless flap; multiple variable components; and possible sensory restoration.

並列關鍵字

Superficial radial artery flap ； finger injury