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Results of reconstruct the loss of thumb soft tissue with pedicle flap at Viet-Tiep Hai Phong Friendship Hospital
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Abstract
Introduction: The thumb accounts for 50% of the function of the hand, when injured, it will be treated according to the principle of maximum conservation. There are many methods of treating loss of thumb soft tissue including the use of pedicle flaps.
Subjects and Methods: This prospective, descriptive study was performed on 32 patients with the loss of thumb soft tissue due to different reasons indicated reconstruction surgery using a pedicle flap in Viet Tiep Hai Phong Friendship Hospital from 1/2017 to 6/2022.
Results: Within 32 flaps were performed, there were 93.7% of skin flaps survived, 30/32 flaps were healed in the first intention and 2 flaps were healed in the secondary intention because of the skin necrosis in the distal area of flaps. In these cases, flaps were used with moist gauze to heal naturally. 75% of patients recovered hand functional movements well, 15.6% of patients recovered moderately, 6.3% on average, and 3.1% badly.
Conclusion: Study of 32 patients with the loss of thumb soft tissue, it was found that: Males were 84.4% and females were 15.6%. The male/female ratio is 5.4/1. Occupational accidents are 68.7%, and daily-life accidents are 21.9%. Loss on the front of the thumb is 81.2%, exposed tendon is 68.8%, and exposed bone is 18.7%. Vascular flap is 65.6%, random flap is 34.4%. The fully alive flap is 93.7%. Good finger movement is 75%, average is 15.6%.
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Keywords
Finger soft tissue defect, perforator flap, local flap
References
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