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Comparison of clinical efficacy of two types of mini-flaps in repairing finger-tip soft tissue defects

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Author:
No author available
Journal Title:
Chinese Journal of Hand Surgery
Issue:
3
DOI:
10.3760/cma.j.cn311653-20231010-00052
Key Word:
外科皮瓣;对比研究;趾腓背侧皮瓣 ;修复;指端缺损;Surgical flaps;Comparative study;Great toe fibular flap;Repair;Finger-tip soft tissue defect

Abstract: Objective:To investigate the clinical efficacy of two types of mini-flaps in repairing the degreeⅡfinger-tip soft tissue defects.Methods:From January 2018 to June 2021, based on the nature and severity of the injury, the type of injury, and the patient′s wishes, we used a composite tissue flap from the fibular and dorsal side of the toe to reconstruct 20 patients with degree Ⅱ finger defects (Group A), and another 20 patients were repaired using a free radial artery wrist transverse perforator flap (Group B). The survival of the skin flap after surgery was followed up and observed, and the two-point discrimination (2PD) testing on the skin flap was performed. The recovery of sensory function between the two groups of patients was compared.Results:All 40 flaps survived after surgery, and the follow-up time was 18 to 36 months, with an average of (20.05±10.36) months. The texture of the flaps was good, and their appearance and function were satisfactory. At postoperative follow-up of 6, 12, and 18 months, there were statistically significant differences between the 2PD of the A and B groups of skin flaps and the healthy side of the normal finger ( P<0.05). Conclusion:Two types of mini-flaps are ideal for repairing finger-tip soft tissue defects, with high survival rates and good sensory function recovery. The reasonable selection and application are necessary.

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