R.I. MULLIN, A.A. BOGOV, V.G. TOPYRKIN, R.F. MASGUTOV, I.G. KHANNANOVA

Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan, 138 Orenburgskiy Trakt, Kazan, Russian Federation, 420064

Mullin R.I. — Cand. Med. Sc., Leading Researcher, traumatologist-orthopedist of Traumatology Department № 2, tel. +7-903-306-39-44, е-mail: [email protected]

Bogov A.A. — D. Med. Sc., Professor, Chief Researcher, Head of Traumatology Department № 2, tel. (843) 290-99-55, e-mail: b[email protected]

Topyrkin V.G. — Cand. Med. Sc., Researcher, traumatologist-orthopedist of Traumatology Department № 2, tel. (843) +7-904-717-03-56, е-mail: [email protected]

Masgutov R.F. — Cand. Med. Sc., Researcher, traumatologist-orthopedist of Traumatology Department № 2, tel. +7-950-314-02-93, е-mail: [email protected]

Khannanova I.G. — Cand. Med. Sc., Researcher, traumatologist-orthopedist of Traumatology Department № 2, tel. +7-917-252-99-12, е-mail: [email protected]

The choice of method of skin defect substitution depends on hugeness, deepness and location of the defect, and condition of tissues in the wound. Combined damages demand the usage of vascular skin plastic methods.

After studying the peculiarities of blood supply in long fingers we identified that dorsal branch of finger artery, having a lot of affluent arteries, can provide a complete blood supply of the flap based on this artery. On this basis we propose a new method of vascular skin plastic.

The absolute indication for the usage of this method is soft tissue defects on the radial side of the second finger and ulnar side of the fifth finger. The other advantage of this method is its application for plastic defects on non-neighboring fingers. The long and mobile nutrition pedicle, containing axial vessel, allows to start training of the fingers movements after 3-4 days, which can help prevent contractures.

Key words: vascular skin plastic method, defects of fingers’ soft tissue.

REFERENCES

1. Eberlin K.R., Eberlin K.R., Chang J., Curtin C.M., Sammer D.M., Saint-Cyr M., Taghinia A.H. Soft-tissue coverage of the hand: a case-based approach. Plast Reconstr Surg., 2014, vol. 133(1), pp. 91-101.

2. Yang D., Morris S.F. Vascular basis of dorsal digital and metacarpal skin flaps. J. Hand Surg [Am], 2001, vol. 26 (1), rr. 142-146.

3. Bogov A.A., Mullin R.I. Pat. 2231989 RF MKI7 A 61 V 17/56 Sposob kozhnoy plastiki pri sochetannykh povrezhdeniyakh pal’tsev kisti [Method of skin plastics with combined injuries of fingers]. No. 2002119599/14; Zayavl. 10.07.02.; Opubl. 10.07.04. Byul. № 19. P. 371.

4. Mishra S., Manisundaram S. A reverse flow cross finger pedicle skin flap from hemidorsum of finger. J Plast Reconstr Aesthet Surg., 2010, vol. 63 (4), pp. 686-692.