Vascular skin plastic surgery with median-dorsal flap in reverse flow in treatment of patients with combined injuries of fingers
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: rusdan@mail.ru
Bogov A.A. — D. Med. Sc., Professor, Chief Researcher, Head of Traumatology Department № 2, tel. (843) 290-99-55, e-mail: bogov_a@mail.ru
Topyrkin V.G. — Cand. Med. Sc., Researcher, traumatologist-orthopedist of Traumatology Department № 2, tel. (843) +7-904-717-03-56, е-mail: rusdan@mail.ru
Masgutov R.F. — Cand. Med. Sc., Researcher, traumatologist-orthopedist of Traumatology Department № 2, tel. +7-950-314-02-93, е-mail: masgut@gmail.com
Khannanova I.G. — Cand. Med. Sc., Researcher, traumatologist-orthopedist of Traumatology Department № 2, tel. +7-917-252-99-12, е-mail: rusdan@mail.ru
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.
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