Cargando…
Pure perforator free sensory proximal ulnar artery perforator flap for resurfacing hand defects
OBJECTIVE: This prospective study was performed to investigate the distribution of proximal ulnar artery perforating vessels through three-dimensional blood vessel reconstruction and examine the presence and consistency of the perforating vessels intraoperatively. METHODS: For anatomical guidance, t...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7278109/ https://www.ncbi.nlm.nih.gov/pubmed/32459118 http://dx.doi.org/10.1177/0300060520922396 |
_version_ | 1783543267960291328 |
---|---|
author | Pan, Jiadong Li, Miaozhong Huang, Yaopeng Dong, Jianghui Wang, Xin Wang, Liping |
author_facet | Pan, Jiadong Li, Miaozhong Huang, Yaopeng Dong, Jianghui Wang, Xin Wang, Liping |
author_sort | Pan, Jiadong |
collection | PubMed |
description | OBJECTIVE: This prospective study was performed to investigate the distribution of proximal ulnar artery perforating vessels through three-dimensional blood vessel reconstruction and examine the presence and consistency of the perforating vessels intraoperatively. METHODS: For anatomical guidance, three-dimensional blood vessel reconstruction was performed to determine the consistent presence of perforating vessels in the proximal ulnar artery. A free proximal ulnar artery perforator flap was then transferred in 17 patients to resurface skin defects on the hands. Color Doppler ultrasound was used to identify and mark the perforating vessels. Intraoperative evaluation was conducted to check for anastomosis of the perforating vessels at the marked sites and assess the vessel anastomosis conditions. RESULTS: No vascular crisis, flap necrosis, or wound infection occurred after surgery in 15 patients. Postoperative follow-up was conducted for 6 to 36 months. The appearance of the flap was satisfactory, the texture of the flap was soft, sensation was well restored, and hand function was not limited. The mean two-point discrimination of the flap was 7.6 ± 2.2 mm. CONCLUSIONS: Free sensory proximal ulnar artery perforator flap transfer is a safe and reliable surgical technique with respect to restoration of both the appearance and sensory function of the hand. |
format | Online Article Text |
id | pubmed-7278109 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-72781092020-06-17 Pure perforator free sensory proximal ulnar artery perforator flap for resurfacing hand defects Pan, Jiadong Li, Miaozhong Huang, Yaopeng Dong, Jianghui Wang, Xin Wang, Liping J Int Med Res Prospective Clinical Research Report OBJECTIVE: This prospective study was performed to investigate the distribution of proximal ulnar artery perforating vessels through three-dimensional blood vessel reconstruction and examine the presence and consistency of the perforating vessels intraoperatively. METHODS: For anatomical guidance, three-dimensional blood vessel reconstruction was performed to determine the consistent presence of perforating vessels in the proximal ulnar artery. A free proximal ulnar artery perforator flap was then transferred in 17 patients to resurface skin defects on the hands. Color Doppler ultrasound was used to identify and mark the perforating vessels. Intraoperative evaluation was conducted to check for anastomosis of the perforating vessels at the marked sites and assess the vessel anastomosis conditions. RESULTS: No vascular crisis, flap necrosis, or wound infection occurred after surgery in 15 patients. Postoperative follow-up was conducted for 6 to 36 months. The appearance of the flap was satisfactory, the texture of the flap was soft, sensation was well restored, and hand function was not limited. The mean two-point discrimination of the flap was 7.6 ± 2.2 mm. CONCLUSIONS: Free sensory proximal ulnar artery perforator flap transfer is a safe and reliable surgical technique with respect to restoration of both the appearance and sensory function of the hand. SAGE Publications 2020-05-27 /pmc/articles/PMC7278109/ /pubmed/32459118 http://dx.doi.org/10.1177/0300060520922396 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Prospective Clinical Research Report Pan, Jiadong Li, Miaozhong Huang, Yaopeng Dong, Jianghui Wang, Xin Wang, Liping Pure perforator free sensory proximal ulnar artery perforator flap for resurfacing hand defects |
title | Pure perforator free sensory proximal ulnar artery perforator flap
for resurfacing hand defects |
title_full | Pure perforator free sensory proximal ulnar artery perforator flap
for resurfacing hand defects |
title_fullStr | Pure perforator free sensory proximal ulnar artery perforator flap
for resurfacing hand defects |
title_full_unstemmed | Pure perforator free sensory proximal ulnar artery perforator flap
for resurfacing hand defects |
title_short | Pure perforator free sensory proximal ulnar artery perforator flap
for resurfacing hand defects |
title_sort | pure perforator free sensory proximal ulnar artery perforator flap
for resurfacing hand defects |
topic | Prospective Clinical Research Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7278109/ https://www.ncbi.nlm.nih.gov/pubmed/32459118 http://dx.doi.org/10.1177/0300060520922396 |
work_keys_str_mv | AT panjiadong pureperforatorfreesensoryproximalulnararteryperforatorflapforresurfacinghanddefects AT limiaozhong pureperforatorfreesensoryproximalulnararteryperforatorflapforresurfacinghanddefects AT huangyaopeng pureperforatorfreesensoryproximalulnararteryperforatorflapforresurfacinghanddefects AT dongjianghui pureperforatorfreesensoryproximalulnararteryperforatorflapforresurfacinghanddefects AT wangxin pureperforatorfreesensoryproximalulnararteryperforatorflapforresurfacinghanddefects AT wangliping pureperforatorfreesensoryproximalulnararteryperforatorflapforresurfacinghanddefects |