Reconstruction of fingers after electrical injury using lateral tarsal artery flap
| Autor: | Xiao-yuan Huang, Xiong Liu, Jie Zhou, Licheng Ren, Jizhang Zeng, Ting-hong Xie, Mitao Huang, Pihong Zhang, Minghua Zhang, Pengfei Liang |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Therapeutics and Clinical Risk Management Wound size 030230 surgery Electrical Injuries 03 medical and health sciences lateral tarsal artery flap 0302 clinical medicine medicine.artery medicine Pharmacology (medical) Severe burn General Pharmacology Toxicology and Pharmaceutics Tendon graft Original Research Chemical Health and Safety business.industry Lateral tarsal artery Nerve graft General Medicine Surgery Tendon body regions medicine.anatomical_structure 030220 oncology & carcinogenesis electrical injuries to fingers business Safety Research |
| Zdroj: | Therapeutics and Clinical Risk Management |
| ISSN: | 1178-203X |
| Popis: | Minghua Zhang, Mitao Huang, Pihong Zhang, Pengfei Liang, Licheng Ren, Jizhang Zeng, Jie Zhou, Xiong Liu, Tinghong Xie, Xiaoyuan Huang Department of Burns Reconstruction Surgery, Xiangya Hospital, Central South University, Changsha, Hunan, People’s Republic of China Objective: Electrical injuries to the fingers account for the majority of total severe burns that occur each year. While several types of flaps have been used in covering finger defects, all have limitations or disadvantages. The purpose of this study was to introduce our clinical experiences of using the lateral tarsal artery (LTA) flap to successfully restore fingers after electrical injury.Patients and methods: From 2005 to 2012, 10 patients with 14 severe electrical burns to their fingers, including six thumbs and four index and four middle fingers, were treated with LTA flap. The wound size ranged from 2.0×3.0cm to 3.5×5.0cm. The flap with free tendon graft was used to repair the tendon defect in four cases, free nerve graft was used to repair the feeling defect in two cases, and the flap with nerve was used to repair the feeling defect in two cases. All the patients were followed up for 3months to 2years.Results: All skin flaps adhered successfully and there were no complications. All patients were satisfied with the esthetic appearance and functional outcome of the finger reconstruction.Conclusion: LTA flap is a reliable method to restore fingers after severe electrical injuries. Keywords: electrical injuries to fingers, lateral tarsal artery flap |
| Databáze: | OpenAIRE |
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