RECONSTRUCTION OF SOFT TISSUE OF HAND USING ISLAND AND PERFORATOR FLAPS

Abstract

Objective: to determine the capabilities and perspectives of island and perforator flaps for soft tissue reconstruction of the hand. Material and methods. Results of treatment of 41 patients with defects of the soft tissue of the hand, treated at the in the period from 2010 to 2013 and operated using the island flaps and perforator flaps (DAP flap). Results and conclusion. In all cases the authors have received positive functional and cosmetic results, which were evaluated using a questionnaire DASH, the average score was 12.3. Digital artery perforator flaps allow close defect covering tissue any surface fingers. The use of perforator flaps allows reconstructing soft tissue defect with the skin of the same anatomical region as identical morphologically lost. The second important advantage is that the DAP flap is not included in the magisterial arteries, allows its use as a recipient for subsequent microsurgical reconstructions.

Keywords

• островковые лоскуты
• перфорантные лоскуты
• реконструкция покровных тканей кисти
• island flaps
• digital artery perforator flap
• propeller flap
• soft tissue reconstruction of the hand