nach oben

European Journal of Trauma and Emergency Surgery

Erschienen in:

01.06.2015 | Original Article

Medial plantar flap to repair defects of palm volar skin

verfasst von: Q.-S. Huang, X. Wu, H.-Y. Zheng, P. Zhou, K. Wang, X.-W. Zhou, Z.-W. Liu, Z.-B. Chen

Erschienen in: European Journal of Trauma and Emergency Surgery | Ausgabe 3/2015

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The methods of repairing defects in fingers, volar skin of the palm and soft tissue were investigated.

Methods

From 2010 to the present, we examined 12 cases in which medial plantar skin flaps were used to repair defects in the fingers and palm. According to skin and soft tissue defects in the fingers and palm, a flap was designed using the medial plantar artery as the vessel pedicle. The flap was dissected and isolated between the abductor hallucis and flexor digitorum brevis, and transplanted to the hand. We then observed the skin colour, skin texture and tactile sensitivity of the hand, as well as the shape and function of the foot.

Results

Follow-up for 3–28 months showed that the flaps survived in all 12 cases, with soft skin, healthy appearance, colour consistent with the palm skin and no pigmentation. The two-point discrimination was 5–7 mm. The donor foot functioned well, and the scar at the donor site was slight and had an aesthetic appearance.

Conclusion

The free medial plantar flap is an ideal flap for repairing soft tissue defects in the palm.

Zhang X, Fang X, Shao X, Wen S, Zhu H, Ren C. The use of a third metacarpal base osteoarticular flap for treatment of metacarpophalangeal joint traumatic defects. J Hand Surg Am. 2012;37:1791–805. PubMedCrossRef

Wang B, Zhang X, Jiang W, Ma T, Li H, Wang H. Reconstruction of distally degloved fingers with a cross-finger flap and a composite-free flap from the dorsum of the second toe. J Hand Surg Am. 2012;37:303–9. PubMedCrossRef

Cong HB, Chang SM, Qiao YP, Wang CL, Sui HM, Cong L. One-stage reconstruction of complicated thumb injury with combination of microsurgical transfers. Microsurgery. 2007;27:181–6. PubMedCrossRef

Fan CY, Jiang J, Zeng BF, Jiang PZ, Cai PH, Chung KC. Reconstruction of thumb loss complicated by skin defects in the thumb-index web space by combined transplantation of free tissues. J Hand Surg Am. 2006;31:236–41. PubMedCrossRef

Woo SH, Choi BC, Oh SJ, Seul JH. Classification of the first web space free flap of the foot and its applications in reconstruction of the hand. Plast Reconstr Surg. 1999;103:508–17. PubMedCrossRef

Orbay H, Kerem M, Unlü RE, Esmer AF, Cömert A, Tüccar E, Sensöz O. Vascular anatomy of plantar muscles. Ann Plast Surg. 2007;58:420–6. PubMedCrossRef

Attinger CE, Evans KK, Bulan E, Blume P, Cooper P. Angiosomes of the foot and ankle and clinical implications for limb salvage: reconstruction, incisions, and revascularization. Plast Reconstr Surg. 2006;117:261S–93S. PubMedCrossRef

Shanahan RE, Gingrass RP. Medial plantar sensory flap for coverage of heel defects. Plast Reconstr Surg. 1979;64(3):295–8. PubMedCrossRef

Oberlin C, Saffar P. The internal plantar island flap. Anatomic study and surgical applications. Rev Chir Orthop Reparatrice Appar Mot. 1984;70(2):151–4. PubMed

10.

Takahashi A, Tamura A, Ishikawa O. Use of a reverse-flow plantar marginal septum cutaneous island flap for repair of a forefoot defect. J Foot Ankle Surg. 2002;41(4):247–50. PubMedCrossRef

11.

Morrison WA, Crabb DM, O’Brien BM, Jenkins A. The instep of the foot fasciocutaneous island and as a free flap for heel defects. Plast Reconstr Surg. 1983;72:56–65. PubMedCrossRef

12.

Yang KM, Xu DC, Shi J, Li ZH. Applied anatomy of free bifolicated flap based on the cutaneous branch of medial plantar superficial artery. Chin J Clin Anat. 2001;2:129–30.

13.

Macchi V, Tiengo C, Porzionato A, Stecco C, Parenti A, Mazzoleni F, Ger R, De Caro R. Correlation between the course of the medial plantar artery and the morphology of the abductor hallucis muscle. Clin Anat. 2005;18:580–8. PubMedCrossRef

14.

Kate M, Dimitrov K. Neurocutaneous metacarpal flaps. Acta Chir Plast. 2008;50:89–92.

15.

Akyürek M, Safak T, Sönmez E, Ozkan O, Keçik A. A new flap design: neral-island flap. Plast Reconstr Surg. 2004;114:1467–77. PubMedCrossRef

16.

Reiffel RS, McCarthy JG. Coverage of heel and sole defects: a new subfascial arterialized flap. Plast Reconstr Surg. 1980;66:250–60. PubMedCrossRef

17.

Kim KS, Kim ES, Kim DY, Lee SY, Cho BH. Resurfacing of a totally degloved hand using thin perforator-based cutaneous free flaps. Ann Plast Surg. 2003;50:77–81. PubMedCrossRef

18.

Kateva M, Dimitrov K. Neurocutaneous metacarpal flaps. Acta Chir Plast. 2008;50:89–92. PubMed

19.

Zhu XL, Sun WH, Wang ZT, Hu Y, Liu ZB, Zhu L, Xu QJ, Wu H, Wang DH. Hallux pulp flap combined with plantar metatarsal flap in repairing the pulp defect of fingers. J Shang Dong univ (Health Sci). 2006;44:478–84.

20.

Shaw EG, Tatter SB, Lesser GJ, Ellis TL, Stanton CA, Stieber VW. Current controversies in the radiotherapeutic management of adult low grade glioma. Semin Oncol. 2004;31:653–8. PubMedCrossRef

21.

Rodríguez-Lorenzo AA, Lin CH, Lin CH, Ching WC, Lin YT. Replantation of a degloved hand with added arteriovenous anastomoses: report of two cases. J Hand Surg Am. 2009;34:1864–7. PubMedCrossRef

22.

Doctor AM, Mathew J, Ellur S, Ananthram AA. Three-flap cover for total hand degloving. J Plast Reconstr Aesthet Surg. 2010;63:402–5. CrossRef

23.

Adani R, Busa R, Tarallo L, Castagnetti C. Update on replantation of degloved skin of the hand. Plast Reconstr Surg. 2004;114:1228–32. PubMedCrossRef

Titel: Medial plantar flap to repair defects of palm volar skin
verfasst von: Q.-S. Huang
X. Wu
H.-Y. Zheng
P. Zhou
K. Wang
X.-W. Zhou
Z.-W. Liu
Z.-B. Chen
Publikationsdatum: 01.06.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: European Journal of Trauma and Emergency Surgery / Ausgabe 3/2015
Print ISSN: 1863-9933
Elektronische ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-014-0423-6

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, DICOM-Daten, Videos und Abbildungen. » Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

31.05.2023 | Hüft-TEP | Nachrichten

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Medial plantar flap to repair defects of palm volar skin

Abstract

Purpose

Methods

Results

Conclusion

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Vor der Gelenkersatz-Op. erst die Depression behandeln?

Nagel oder Platte bei Humerusschaftfraktur?

Ärzte-Honorar in der gesetzlichen Unfallversicherung steigt um fünf Prozent

Formal rechtmäßiger Regress kann gleichwohl rechtsmissbräuchlich sein

Update Orthopädie und Unfallchirurgie

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2015

The incidence of deep vein thrombosis and pulmonary embolism following cast immobilisation and early functional bracing of Tendo Achilles rupture without thromboprophylaxis

Biomechanical properties of different external fixator frame configurations

“Management of blunt renal injury: what is new?”

Risk associated with traumatic intracranial bleed and outcome in patients following a fall from a standing position

Young adults with mild traumatic brain injury—the influence of alcohol consumption—a retrospective analysis

Nonoperative management of blunt splenic injury: what is new?

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Vor der Gelenkersatz-Op. erst die Depression behandeln?

Nagel oder Platte bei Humerusschaftfraktur?

Ärzte-Honorar in der gesetzlichen Unfallversicherung steigt um fünf Prozent

Formal rechtmäßiger Regress kann gleichwohl rechtsmissbräuchlich sein

Update Orthopädie und Unfallchirurgie