Abstract
Objective To discuss the operation method, treatment effect and clinical significance of neurovascular pedicle V-Y flap for repair of distal finger soft tissue defect inⅡarea. Methods From May 2014 to August 2016, 12 cases (12 fingers) of distal finger soft tissue defect inⅡarea were treated with neurovascular pedicle V-Y flap. All the wounds were accompanied by tendon or bone exposure and onychostroma residual. The flap area ranged from 2.0 cm×2.0 cm to 2.0 cm×2.5 cm. The donor site was closed directly. Results All the 12 flaps of 12 fingers survived uneventfully. Ten cases were follow-up for 6 to 12 months, and 2 cases were lost. Postoperatively the flaps had satisfactory appearance with the two-point discrimination ranging from 4 to 6 mm. Conclusion The neurovascular pedicle V-Y flap is a reliable and safe way to cover the distal finger soft tissue defect inⅡarea with tendon or bone exposure, which has the advantages of durability, safety and popularity due to the appearance and sensory recovery and no damage to donor sites. Key words: Finger injuries; Surgical flaps; Skin defects; Neurovascular pedicle; V-Y flap
Published Version
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