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The Archives of Bone and Joint Surgery، جلد ۲، شماره ۱، صفحات ۱۱-۱۶

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عنوان انگلیسی Repair of Minor Tissue Defect in Hand by Transfer of Free Tissue Flap from the Toe
چکیده انگلیسی مقاله Background: To introduce our experience of using the free neurovascular flap from great and second toe. Methods: Thirteen patients (fifteen fingers) sought surgical treatment for soft tissue defects of the hand at our medical institutin between March 2006 and September 2009. In two patients, fibular side skin-nail flaps of great toe were applied to cover the dorsal defect of distal thumb. In twelve, in the treatment of pulp defect of finger with fibular side flap of great toe or tibial side flap of second toe. In one, in the treatment of defect of distal middle with composite flap with distal digital bone of second toe. Results: All flaps were survived. The average subjective satisfaction score was 8.08 (range 4-10). Nine patients (69%) experienced cold intolerance, and 2 patients (15%) dysesthesia. The Semmes-Weinstein sensitivity score was between 3.47and 4.72 on the flap, and 0-4.18 on the donor site. The mean two-point discrimination was 6.8 mm (range 4-12). Grip strength was 10% less than in the unaffected hand. The proximal interphalangeal mobility loss was less than 15 degrees. Conclusions: Our results indicated that these free flaps from toe are useful for patients with a small soft-tissue defect in hand.
کلیدواژه‌های انگلیسی مقاله Free neurovascular flap, Hand tissue defect, Toe

نویسندگان مقاله haitao tan | haitao tan
orthopedics department, the eight affiliated hospital of guangxi medical university, 537100, guigang, china


xiang luo | xiang luo
orthopedics department, the eight affiliated hospital of guangxi medical university, 537100, guigang, china


keqin یانگ | keqin yang
orthopedics department, the eight affiliated hospital of guangxi medical university, 537100, guigang, china


jianzhong jiang | jianzhong jiang
orthopedics department, the eight affiliated hospital of guangxi medical university, 537100, guigang, china


pingou wei | pingou wei
orthopedics department, the eight affiliated hospital of guangxi medical university, 537100, guigang, china


jinming zhao | jinming zhao
department of hand surgery, the first affiliated hospital of guangxi medical university, 530000, nanning, china



نشانی اینترنتی http://abjs.mums.ac.ir/article_2366.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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