[Reconstruction of distal phalanx defect with microsurgical fascia latae flaps combined with rib and skin graft].
OBJECTIVE
To evaluate the clinical application of microsurgical fascia latae flaps combined with rib and skin graft for reconstruction of the distal phalanx defect.


METHODS
The phalanx wounds were sutured together like syndactyly. The autologous rib was revised to repair the bone defect of distal phalanx. The fascia latae flap was used to cover the bone exposure with microvascular anastomoses and resurfaced by a meshed split-thickness skin graft.


RESULTS
5 cases were treated successfully. The fascia latae flaps were all survived with only skin graft necrosis at the distal end in one case. It was healed spontaneously.


CONCLUSIONS
The fascia latae flap is nourished by the descending branch of the lateral circumflex femoral artery. The flaps has a good blood supply and can be easily obtained with a long vascular pedicle. The flap is ideal for the reconstruction of distal phalanx defect when combined with autologous rib implant and skin graft.
Zhang
Gong-Lin
GL
Orthopaedics and Traumatology Hospital of Wending City, Wenling 317500, China.
Zhang
Ming
M
Guo
Ao
A
Wang
Gan-Sheng
GS
Zhang
Wen-Zheng
WZ
Hu
Yu-Xiang
YX
D000293:Adolescent; D000328:Adult; D005206:Fascia Lata / Q000637:transplantation*; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods; D012272:Ribs / Q000637:transplantation*; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps / Q000098:blood supply; D055815:Young Adult