Fascial Flaps Based on Distal Ulnar and Radial Artery Perforators for Covering Hand Defects

摘要

The clinical effectiveness of adipofascial flaps based on distal ulnar or radial artery perforators is demonstrated in a series of 13 patients with severe hand injuries with soft tissue defects requiring coverage. There were 9 male and 4 female patients and their age ranged between 23 and 69 years, while the defects were 6 dorsal and 4 palmar, 1 with both above mentioned aspect defects and 2 with thumb or total digit amputation. In the patients with a dorsal defect the extensor tendons were intact in 2 cases, reconstructed in 2 cases and using silicon rods in 2 cases. A fascial flap based on a distal ulnar or radial artery perforator was fashioned and used to cover the defect following debridement, covered with a split thickness skin graft and immobilized for 2 weeks. All cases were followed up for at least 6 months. The donor and the recipient sites healed uneventfully, a very good range of motion of the hand was obtained. The aesthetic result was satisfactory.