中华显微外科杂志最新文献

{"title":"A preliminary study on B -mode ultrasonic evaluation of muscle recovery after functional gracilis muscle transplantation","authors":"Yi Hou, Jiantao Yang, Bengang Qin, Liqiang Gu","doi":"10.3760/CMA.J.ISSN.1001-2036.2019.02.001","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2019.02.001","url":null,"abstract":"Objective \u0000To investigate the value of the B-mode ultrasound method for muscle recovery after transplantation. \u0000 \u0000 \u0000Methods \u0000From January, 2009 to January, 2014, 35 patients of functioning free gracilis muscle transplantation for brachial plexus injury were involved. Using B-mode ultrasound to determine the cross-sectional area (CSA) of transplanted gracilismuscle at rest and contraction state. The contraction ratio (CR) and the muscle bulk ratio (MBR) was calculated based on the CSA. Then the CR and MBR were analysised statistically with manual muscle strength and joint range of motion (ROM) to investigate the correlation. \u0000 \u0000 \u0000Results \u0000The followed-up time was 8-24 months, averaged of 22.4 months. The CR of the transplated muscle was (1.23±0.15), which was significantly correlated with muscle strength and joint ROM (P 0.05). There was no statistically significant difference in muscle strength and ROM between patients with MBR greater than 1 and those with MBR less than 1 (P= 0.054, P=0.284, respectively). \u0000 \u0000 \u0000Conclusion \u0000The transplanted muscle recovery can be quantitatively reflected by the CR. CR enlargement of the transplanted gracilis muscle indicated a better recovery of muscle contraction function. MBR is not suitable for evaluating function recovery of transplanted muscles. \u0000 \u0000 \u0000Key words: \u0000Gracilis; Functional muscle transplantation; B-mode ultrasound; Muscle contraction; Muscle strength","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"42 1","pages":"105-109"},"PeriodicalIF":0.0,"publicationDate":"2019-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45310982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Free anterolateral thigh flaps with fascia lata for repair of dorsal tendon and soft tissue defect of ophisthenar","authors":"S. Xiong, J. Ju, G. Jin, Lin-feng Tang, Guangliang Zhang, Xiang-jun Li","doi":"10.3760/CMA.J.ISSN.1001-2036.2019.02.008","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2019.02.008","url":null,"abstract":"Objective \u0000To explore the surgical technique and clinical effects of free anterolateral thigh flaps with fascia lata for repair of dorsal tendon and soft tissue defect of ophisthenar. \u0000 \u0000 \u0000Methods \u0000From February, 2014 to July, 2016, dorsal tendon and soft tissue defect of ophisthenar in 13 cases was repaired by free anterolateral thigh flaps with fascia lata. The area of soft tissue defect was 5.0 cm×6.0 cm-9.0 cm×12.0 cm. Extensor tendon defect and bone exposure occurred in all cases. The area of flap was 6.0 cm×7.0 cm-10.0 cm×13.0 cm, while the area of anterolateral thigh flap was 3.0 cm×4.0 cm-6.0 cm×8.0 cm. The regular post-operatively followed-up was performed. \u0000 \u0000 \u0000Results \u0000All flaps survived. The donor sites healed well without skin graft. The followed-up time was 6-36 months with the average of 13 months. The appearance of the flap was good. The color and texture of flaps was similar to the dorsal skin of ophisthenar. Three female patients who were not satisfied with the flap appearance received the revision and the results were satisfactory. The activity of finger flexion and extension was satisfactory. All patients walked well without difficulty. According to the Upper Extremity Functional Evaluation Standard set up by Hand Surgery Branch of Chinese Medical Association, the function recovery result was excellent in 8 cases, good in 4 cases, and poor in 1 case. \u0000 \u0000 \u0000Conclusion \u0000It is a good method to use the free anterolateral thigh flaps with fascia lata to repair of dorsal tendon and soft tissue defect of ophisthenar. \u0000 \u0000 \u0000Key words: \u0000Anterolateral thigh flap; Fascia lata; Opisthenar; Soft tissue defect; Tendon defect; Repair","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"42 1","pages":"132-135"},"PeriodicalIF":0.0,"publicationDate":"2019-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45213353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical application of posterior tibial artery perforator flap within saphenous nerve branch for sensory reconstruction","authors":"Lu-yuan Sun, Y. Chai, Gen Wen, Shenghe Liu, P. Han, Chunyang Wang, Changqing Zhang","doi":"10.3760/CMA.J.ISSN.1001-2036.2019.02.006","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2019.02.006","url":null,"abstract":"Objective \u0000To explore the operative technique and clinical results of posterior tibial artery perforator flap within saphenous nerve branch for sensory reconstruction. \u0000 \u0000 \u0000Methods \u0000From January, 2016 to June, 2018, 9 patients suffered from soft tissue defect were treated by the posterior tibial artery perforator flap containing saphenous nerve branch. Seven patients were males and 2 were females, with age ranged from 31 to 62 years. Soft tissue defects located in hands in 5 patients, plantar in 2 patients, ankle in 1 patient and dorsal foot in 1 patient. The size of soft tissue defects ranged from 8.0 cm×2.5 cm to 21.0 cm×4.0 cm. The regular post-operative followed-up was performed. \u0000 \u0000 \u0000Results \u0000All flaps survived without complications. The size of flap ranged from 10.0 cm×3.5 cm-23.0 cm×5.0 cm. Donor sites were primarily closed in 5 patients and secondary closed in 4 patients. Followed-up ranged from 6 to 15 months with 10 months in average. The contour of flaps were satisfied and the sensory function of the donor sites were normal. At 6 months followed-up, SW test reached 5.07 in all flaps, and 2PD ranged from 14 to 35 mm. \u0000 \u0000 \u0000Conclusion \u0000The novel sensory flap can provide satisfied sensory outcome without sacrificing main artery and saphenous nerve, and is a good candidate for sensory reconstruction of soft tissue defects. \u0000 \u0000 \u0000Key words: \u0000Posterior tibial artery; Perforator flap; Saphenous nerve; Sensory reconstruction; Soft tissue defect","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"42 1","pages":"125-127"},"PeriodicalIF":0.0,"publicationDate":"2019-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47151159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical safety of collagen nerve scaffold with longitudinally oriented microchannels in bridging peripheral nerve defect","authors":"Chao Liang, R. Cong, Hang Xian, Fanliang Zhang, Hang Zhang, Cheng-wu Zang, Rui Zhao","doi":"10.3760/CMA.J.ISSN.1001-2036.2019.02.009","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2019.02.009","url":null,"abstract":"Objective \u0000To evaluate the clinical safety of the collagen nerve scaffold with longitudinally oriented microchannels in bridging peripheral nerve defect. \u0000 \u0000 \u0000Methods \u0000Five patients with 8 peripheral nerve defects of 18 to 30 (mean, 23.8) mm in length were involved in the pilot study and treated from July, 2017 to March, 2018, including 6 digital nerves and 2 medial antebrachial cutaneous nerves. The defects were repaired with the collagen nerve scaffold with longitudinally oriented microchannels independently developed. Routine therapy of prophylactic systemic antibiotics but no immunosuppressive drugs was given to all patients post-operatively. All patients were followed-up by regular review in the outpatient department combined with WeChat and telephone. The clinical safety of the nerve scaffold was preliminarily evaluated through observing the condition of the healing of the local wound and the whole body. The blood routine examineation and biochemical test were detected. The statistical analysis of the measurement data was performed by the analysis of variance of repeated measurement data, and the difference was statistically significant when P<0.05. \u0000 \u0000 \u0000Results \u0000All patients were followed-up for 7 to 15 months (average, 10 months). No adverse events such as infection, allergy, damage of liver and kidney function occurred. The operative incisions healed primarily, with no redness, exudation and rupture in the local area. There was no systemic symptoms such as fever, nausea, vomiting, skin itching, etc. The results of blood routine tests and biochemical tests were normal. The data of tests was compared, and the difference was not statistically significant (P>0.05). \u0000 \u0000 \u0000Conclusion \u0000The preliminary study shows that it is clinically safe to bridge peripheral nerve defects with the collagen nerve scaffold with longitudinally oriented microchannels. \u0000 \u0000 \u0000Key words: \u0000Collagen nerve scaffold with longitudinally oriented microchannels; Peripheral nerve; Nerve defect; Safety","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"42 1","pages":"136-140"},"PeriodicalIF":0.0,"publicationDate":"2019-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43612106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Repairing soft tissue defect of thumb tips in infants by using the first dorsal metacarpal radial artery flaps along with anatomosing of nerves and veins","authors":"H. Gu, Xiao-juan Gu, C. Yao, Shaogeng Huang, Zhe Zhang, Honggang Wang","doi":"10.3760/CMA.J.ISSN.1001-2036.2019.02.003","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2019.02.003","url":null,"abstract":"Objective \u0000To investigate the surgical methods and clinical effect of repairing the thumb tip defects in infants by applying the reversed first dorsal metacarpal radial artery island flaps along with anatomosing of nerves and veins. \u0000 \u0000 \u0000Methods \u0000Twenty-one cases with soft tissue defects of thumb tips caused by trauma were admitted from August, 2015 to August, 2017. The first dorsal metacarpal radial island artery flaps were transplanted reversely to repair the defects along with the anatomosis of nerves and veins. Among all the cases, the range of defect area was 2.0 cm×1.8 cm-3.0 cm×2.5 cm. The area range of the flap harvested during the surgery was 2.2 cm×2.0 cm-3.2 cm×2.7 cm. The regular post-operative followed-up was performed. \u0000 \u0000 \u0000Results \u0000All flaps survival after the surgeries, and the wounds were I-staged healing. All cases were followed-up by 3-18 months, and the average time was 7 months. The appearance and quality of the flaps were good. The range of motion of the metacarpophalangeal joints and interphalangeal joints was normal. According to the Upper Extremity Functional Evaluation Tentative Criteria set up by Hand Surgery Branch of Chinese Medical Association, 14 cases were excellent, 5 case was good, and 2 cases were fair. \u0000 \u0000 \u0000Conclusion \u0000The surgery of using the first dorsal metacarpal radial reversed island artery flap to repair the de fect of thumb tip in infant, along with the anatomosis of nerve and vein, is a good method in repairing the defects due to its ease of operation, achievement of plump of finger tip and good recovery of appearance and sensation after the surgery. \u0000 \u0000 \u0000Key words: \u0000First dorsal metacarpal artery; Flap transplant; Finger tips defect; Thumb; Infants","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"42 1","pages":"114-116"},"PeriodicalIF":0.0,"publicationDate":"2019-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43654283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anterior superior malleolus flap and second toe transplantation for thumb reconstruction with soft tissue and first web defect","authors":"Xi-xun Wang, Danyu Tao, Xu-Hui Chen, Jun Li, Gao-meng Zhang, Zheng-hua Shu, Yue Pan, Wen-Lin Luo, Chao-qi Ding","doi":"10.3760/CMA.J.ISSN.1001-2036.2019.02.005","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2019.02.005","url":null,"abstract":"Objective \u0000To explore the clinical efficacy of anterior superior malleolus flap and second toe transplantation for thumb reconstruction and soft tissue defect repair or first web reconstruction. \u0000 \u0000 \u0000Methods \u0000A total of 13 cases were underwent anterior superior malleolus flap and second toe transplantation for thumb reconstruction and soft tissue defect repair from June, 2008 to January, 2016. There were 9 males and 4 females. The average age was 25 years old, ranging from 18 to 52. There were 3 cases of III-degree thumb defect with soft tissue defect of hand, 6 cases of IV-degree thumb defect with soft tissue defect of hand, 3 cases of single V-degree thumb defect and 1 V-degree thumb defect with soft tissue defect. There were 5 patients accompanied with injury of other fingers of the affected hand. And the thenar muscles were also damaged to a varied degree. There were 10 patients with soft tissue defect before surgery, with the wound surface ranging from 3 cm × 5 cm - 6 cm × 13 cm. And the wound of other 3 cases was closed. After the surgery, follow-up visit was conducted on the appearance, sensation, function, daily life and working condition of reconstructed thumb, the appearance and function condition of donor site. \u0000 \u0000 \u0000Results \u0000The reconstructed thumbs and anterior superior malleolus flaps in 13 cases survived and healed primarily. The average post-operative followed-up time was 5.5 years, ranging from 2.5 to 10.0 years. The appearance of reconstructed thumb was satisfactory, and the temperature sensation, pain sensation and touch sensation were recovered. The two-points discrimination was 8-18 mm. Moreover, the flexion and extension function, opposing function and finger-to-thumb function was recovered, which could meet the demand of daily life and work. The appearance of donor site was satisfactory, without claudication, pain or dysfunction. The survival of transplanted skin area in the calf was good, with no ulcer noticed. According to the Trial Standard for Thumb and Finger Reconstitution Functional Assessment of Hand Surgery Society of Chinese Medical Association, there were 10 cases excellent results, 2 good and 1 fair. \u0000 \u0000 \u0000Conclusion \u0000Application of anterior superior malleolus flap and second toe transplantation for first-stage thumb reconstruction and soft tissue defect repair or thenar muscles and first web reconstruction is an effective therapeutic approach. \u0000 \u0000 \u0000Key words: \u0000Anterior superior malleolus flap; Second toe; Thumb; Reconstruction; First web","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"42 1","pages":"120-124"},"PeriodicalIF":0.0,"publicationDate":"2019-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43299121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An anatomic study of superficial temporal artery to anterior cerebral artery bypass using ipsilateral parietal branch of superficial temporal artery as graft","authors":"Yuan Li, Jianrui Sun, Bo Yang, Shu-kai Wang","doi":"10.3760/CMA.J.ISSN.1001-2036.2019.02.013","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2019.02.013","url":null,"abstract":"Objective \u0000Revascularization of the distal segment of the anterior cerebral artery (ACA) using extracranial donors requires long interposition grafts. A novel bypass procedure which uses the two main branches of the superficial temporal artery (STA) to reach the A3 segment of the anterior cerebral artery with a single skin incision was designed. \u0000 \u0000 \u0000Methods \u0000Ten cadaveric specimens were dissected through a single skin incision to harvest the frontal and parietal branches of the STA from June, 2017 to September, 2017. An anterior interhemispheric approach provided access to the middle internal frontal artery (MIFA). The parietal STA was used as an interposition graft between the frontal STA and MIFA. Lengths and calibers of the distal branches of STA and MIFA were measured at the anastomotic sites. All data was statistical analysis by t-test. \u0000 \u0000 \u0000Results \u0000The average caliber of MIFA was (1.4±0.2) mm, which matched the caliber of both frontal and parietal branches of STA. The mean distance for an end-to-side bypass from STA to MIFA was (144.5±7.4) mm and the average harvested donor-graft complex length was (203.1±27.9) mm. This bypass construct provided around 140% donor graft length. \u0000 \u0000 \u0000Conclusion \u0000Using the parietal branch of the STA as an interposition graft enabled a successful tension-free STA-MIFA bypass. The advantages of this technique over existing approaches include sufficient graft length, caliber match and relative technical ease. \u0000 \u0000 \u0000Key words: \u0000Anterior cerebral artery (ACA); Extracranial-intracranial bypass; Superficial temporal artery; Interhemispheric approach; Cerebral revascularization; Microsurgical anatomy","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"42 1","pages":"155-159"},"PeriodicalIF":0.0,"publicationDate":"2019-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44712043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Repair of soft tissue defect of foot and ankle with the supercharged peroneal artery perforator propeller flap","authors":"Jianxiong Zheng, Jie Li, Lingjian Zhuo, Gaohong Ren, Ping Zhang, Hua Liao, Jijie Hu","doi":"10.3760/CMA.J.ISSN.1001-2036.2019.02.010","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2019.02.010","url":null,"abstract":"Objective \u0000To explore the clinical technical points of the treatment of soft tissue defect of the foot and ankle with the supercharged peroneal artery perforator propeller flap, and to provide theoretical support by anatomical observation. \u0000 \u0000 \u0000Methods \u0000From January, 2010 to February, 2018, a total of 10 patients with soft tissue defect of foot and ankle were treated with supercharged peroneal artery perforator propeller flap. Cause of injury: trauma in 7 cases, wound ulcer in 1 case, and poor healing of the calcaneus incision in 2 cases. Defect site: 5 cases of heel, 2 cases of medial and lateral malleolus, and 3 cases of dorsum and sole. The size of flap ranged from 6.0 cm×3.0 cm to 16.0 cm×5.0 cm. All patients were followed-up at 1, 3, 6 months after operation, and the function recovery was judged by AOFAS Ankle Hindfood Scale at 3 months post-opertively. From November, 2016 to May, 2017, the anatomical basis and operative points of the supercharged peroneal artery perforator flap were summarized. \u0000 \u0000 \u0000Results \u0000All the 10 cases of supercharged peroneal artery perforator propeller flap survived. Two of them had local epidermal necrosis at the proximal end of the flap. After 1 to 2 weeks of dressing, they finally healed. The other 8 cases healed well. Anatomical studies showed that different planes of the supercharged peroneal artery perforator propeller flap can only reduce the compression of the double pedicles and reduce the distal necrosis rate of the flap by rotating in different rotation directions. \u0000 \u0000 \u0000Conclusion \u0000The supercharged peroneal artery perforator propeller flap can enhance the blood supply and venous return in the \"big paddle\" artery of the flap, preventing distal necrosis. \u0000 \u0000 \u0000Key words: \u0000Peroneal artery perforator flap; Propeller flap; Supercharged; Foot and ankle","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"42 1","pages":"141-145"},"PeriodicalIF":0.0,"publicationDate":"2019-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46022808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of deep femoral artery third perforating artery flap for reconstruction of soft tissue defect in lower limles","authors":"Ju-yu Tang, Jiqiang He, Panfeng Wu, Zheng-bing Zhou, Fang Yu, Li-ming Qing, Ding Pan, X. Pang, Lei Zeng, Yongbing Xiao","doi":"10.3760/CMA.J.ISSN.1001-2036.2019.02.011","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2019.02.011","url":null,"abstract":"Objective \u0000To investigate the feasibility and clinical effects of deep femoral artery third perforating artery perforator flap for reconstruction of soft tissue defect in lower limbs. \u0000 \u0000 \u0000Methods \u0000From September, 2008 to October, 2016, 8 cases of soft tissue defect in lower limbs which were repaired by deep femoral artery third perforating artery perforator flap, including 4 cases of traffic accident trauma, 2 cases of chronic ulcer, 1 case of a fall injury, 1 case of the scar after fracture operation. The area of wounds was 8.0 cm×7.0 cm-19.0 cm×8.0 cm. Seven patients were accompanied by different degrees of infections. The deep femoral artery third perforating artery perforator flap was designed to repair, including 5 cases of pedicled flaps and 3 cases of free flaps. The flap’s appearance, color, texture, infection recurrence and the recovery of lower limb function were recorded at 1, 3, 6, 9 and 12 months followed-up. \u0000 \u0000 \u0000Results \u0000One flap suffered partial necrosis due to cross-zone backflow disorder, the ipsilateral medial sural artery pedicled perforator flap was used to repair. The rest of the flaps survived successfully. Skin graft was used to close the donor site in 1 case, and other donor sites were closed directly. All patients had no postoperative hematoma or secondary infection. The followed-up periods ranged from 2 to 28 months (mean, 8.1 months). All flaps had satisfied appearance and texture. There were no complications such as paresthesia and numbness in the donor sites. And no motion limitations in hip and knee joint of the operated leg. \u0000 \u0000 \u0000Conclusion \u0000Deep femoral artery third perforating artery perforator flap can be used for both free flaps and pedicled flaps, which is a feasible method to repair soft tissue defect in lower limbs. \u0000 \u0000 \u0000Key words: \u0000Perforator flap; Deep femoral artery; Third perforating artery; Lower limb; Soft tissue defect","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"42 1","pages":"146-149"},"PeriodicalIF":0.0,"publicationDate":"2019-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46234764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical effect analysis of palmar venous anastomosis in fingertip replantation","authors":"Gen Wen, Y. Chai, Huilin Yang","doi":"10.3760/CMA.J.ISSN.1001-2036.2019.02.002","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2019.02.002","url":null,"abstract":"Objective \u0000To investigate the feasibility and clinical effect of palmar venous anastomosis in fingertip replantation. \u0000 \u0000 \u0000Methods \u0000From October, 2008 to May, 2017, the clinical data of 15 patients with 24 finger replantation were retrospectively analyzed by outpatient, telephone and WeChat followed-up. One artery was anastomosed for revascularization with or without nerve repair, and 1 palmar venous anastomosis was performed to reestablish the outflow system. The finger nerve was sutured randomly according to the injury. \u0000 \u0000 \u0000Results \u0000The patients were followed-up for 18-65 (mean, 39.9) months. Except for 1 replantation finger with rotation avulsed injury failed, the remaining 14 cases with 23 fingers survived completely. Excellent restoration of finger motion was observed during the follow-up. The mean regained static 2-point discrimination sensation was 3.6 (2.8-4.0) mm. All patients were satisfied with the treatment effect. \u0000 \u0000 \u0000Conclusion \u0000Successful palmar venous anastomosis can improve the survival rate of replanted fingertips, simplify postoperative care, reduce postoperative complications, and improve the treatment effect. \u0000 \u0000 \u0000Key words: \u0000Fingertip; Replantation; Palmar vein of finger; Follow-up","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"42 1","pages":"110-113"},"PeriodicalIF":0.0,"publicationDate":"2019-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46287574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}