[Treatment of soft tissue defects of palm and proximal fingers with double vascular pedicle flaps].
OBJECTIVE
To establish a new operative method to repair defects of palm and proximal fingers with double vascular pedicle flaps.


METHODS
From August 1992 to June 2000, 20 cases of soft tissue defects of palm and fingers were repaired with double vascular pedicle flaps. Twenty patients included 9 males and 11 females, aged 17-35 years. The causes were crush, avulsion, and so on. The interval between injury and operation was 3-11 hours. The wound area ranged from 8 cm x 12 cm to 10 cm x 20 cm. We devised the two side flaps on pectoral-umbilical place with well-known blood vessel to cover flexion and extension regions of palm and the multi-lobes skin flap to cover defect of fingers simultaneously.


RESULTS
Out of 20 patients, 19 were followed up 8-12 months with an average of 9.8 months. All the flaps survived completely. The skin colour and the contour of the palm and digits were good.


CONCLUSIONS
The double vascular pedicle flap is one of the best choices to repair soft tissue defect of the palm and proximal fingers; the procedure is simple and the operation is extended easily.
Sun
Zhansheng
Z
Department of Microsurgery, Shandong Provincial Hospital, Jinan Shandong, PR China.
Mu
Weidong
W
Wang
Lubo
L
D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D006085:Graft Survival; D006225:Hand / Q000098:blood supply / Q000601:surgery; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply