Repair of Hand Injury Tissue Defect with Anterolateral Thigh Perforator Flaps
WANG Yong- chun
Beijing Chaoyang Emergency Rescue Center, Beijing (100028), China
Abstract:
Objective To investigate the effect, complications and safety of anterolateral thigh perforator ?ap in the repair of hand traumatic tissue defect. Methods The patients with hand trauma tissue defect were divided into control group and study group. The patients in control group were treated with abdominal pedicled flap and the patients in study group were treated with anterolateral thigh perforator flap. Results After operation, the pain score and tissue growth score of the study group were ( 2 . 11± 1 . 21 ) and ( 1 . 63± 0.19), which were better than those in the control group [(3. 98± 1. 32) and ( 0. 89± 0. 32)]. In the study group, the micro-inflammation status CRP was ( 3 . 36 ± 1 . 12 ) mg/L, IL- 6 was ( 167 . 34 ± 31 . 34 ) ng/L and TNF-a was (270.23±35.23) ng/L, which were better than those in the control group [(6.98±1.63) mg/L, (201.54±34.54) ng/L and (354.43±58.43) ng/L]. The time of facial healing was (5.43±1.92), the time of using anti-infective drugs was (6.34±1.43) d and the time of hospitalization was (19.43±2.52) d, which were all better than those in the control group [(13.43±2.34) d, (11.43±1.78) d and (25.34±3.45) d]. The total effective rate in the study group was 91%, higher than 77% in the control group, and the infection rate in the study group was 14%, lower than 26% in the control group (P<0.05). Conclusion The anterolateral thigh perforator ?ap is used to repair the tissue defect of hand trauma. The curative effect is remarkable, the tissue of hand is obviously improved, the pain is effectively improved, and the wound can be healed in a short time.
