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Date Published: 29/04/2024
Online Published: 29/04/2024
Abstract Views: 79
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DOI: https://doi.org/10.54804/yhthvb.2.2024.312
Issue
No. 2 (2024)
Section
Articles
How to Cite
Nguyen, M. D., Vo, T. T., & Nguyen, T. D. (2024). The results of reconstructing the defect of the distal part of the thumb with the dorsal pedicle flap of the index finger. Journal of Disaster Medicine and Burn Injuries, 2, 27-37. https://doi.org/10.54804/yhthvb.2.2024.312

The results of reconstructing the defect of the distal part of the thumb with the dorsal pedicle flap of the index finger

Nguyen Minh Duong1, Vo Thanh Toan2,, Nguyen Thien Duc1
1 Thong Nhat Hospital
2 School of Medicine- Vietnam National University Ho Cho Minh city

Main Article Content

Abstract

Objectives: To evaluate the results of reconstructive surgery of the soft tissue defect of the distal thumb with the first dorsal metacarpal artery (FDMA) flap at the Thong Nhat Hospital.
Subjects and methods: A prospective descriptive study of 15 patients, who had soft tissue defects with exposed thumb bone, who underwent microsurgery to the FDMA flap coverage at the Thong Nhat Hospital from May 2016 to May 2020.
Results: the proportion of males (66.7%) was higher than that of females (33.3%). The average age was 32 years old (from 18 to 54 years old). Causes of injury: 6 patients had labor accidents, 5 had traffic accidents, and 4 had living accidents. Flap size ranges from 2.5 - 3.5cm in length and 2 - 2.5cm in width. The average length of the flap pedicle is 7.0cm (from 6.0 cm to 7.5 cm). 6 patients with dorsal defect and 4 patients with volar defect. 5 patients have defects in both the dorsal surface and the volar surface of the thumb. All patients were satisfied with the surgical results. No patient had complete flap necrosis. There were 2 patients with partial necrosis of the flap that continued to be observed, then the necrosis broke out on its own and healed.
Conclusions: The soft tissue defect of the distal thumb with exposed bone can be reconstructed by FDMA flap with satisfactory functional results, few complications.

Article Details

Keywords

Soft tissue defect, first dorsal metacarpal artery flap, thumb

References

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