Foucher first dorsal metacarpal artery flap versus littler heterodigital neurovascular flap in resurfacing thumb pulp loss defects.
Foucher first dorsal metacarpal artery flap versus littler heterodigital neurovascular flap in resurfacing thumb pulp loss defects.
复制标题
DOI：
10.1097/sap.0b013e3181ef6f6d
复制
发表时间：
2011-08-01
影响因子：
1.5
通讯作者：
Tsoutsos, Dimosthenis A
中科院分区：
文献类型：
--
作者：
Delikonstantinou, Iraklis P;Gravvanis, Andreas I;Tsoutsos, Dimosthenis A
本研究旨在通过评价供受体部位的创面愈合情况、再造拇指的感觉和功能结果，来说明傅氏第一掌背动脉皮瓣和Littler的异指神经血管皮瓣在拇指指腹再造中的优缺点。14例男性患者分别采用Fuccher法(n=8)和Littler法(n=6)进行修复。Fuccher‘s皮瓣解剖快于Littler’s瓣。所有Littler皮瓣全部成活，但1例Fuccher皮瓣部分坏死。所有患者的拇指活动度和稳定性都是最佳的。两组供区创面均获得愈合。2例应用Littler皮瓣重建的患者出现瘢痕挛缩，供指和第一腓间隙的活动范围分别缩小。虽然Littler皮瓣能改善再造拇指指腹的感觉和触觉知觉，但Fuccher皮瓣可确保供体部位的并发症可以忽略不计，完全的皮质重定向，以及更好的手整体功能。
Our study aims to illustrate the advantages and disadvantages of Foucher's first dorsal metacarpal artery flap and Littler's heterodigital neurovascular flap in thumb pulp reconstruction, by assessing wound healing of donor and recipient sites, sensibility, and functional outcome of the reconstructed thumb. Fourteen male patients were reconstructed either with Foucher (n = 8) or Littler flap (n = 6). Dissection of Foucher's flap was faster than that of Littler's flap. All Littler flaps survived completely, but we experienced 1 partial Foucher flap necrosis. Thumb motility and stability was optimal in all patients. Wound healing of donor sites was achieved in both groups. Two patients reconstructed with Littler flap developed scar contractures and presented a reduced range of motion of donor finger and first webspace, respectively. Although Littler flap resulted in better sensibility and tactile gnosis of the reconstructed thumb-pulp, Foucher flap ensured negligible donor site morbidity, complete cortical reorientation, and better overall hand function.