J Korean Soc Surg Hand.  2017 Mar;22(1):57-62. 10.12790/jkssh.2017.22.1.57.

Hand Reconstruction Using Medialis Pedis and Medial Plantar Chimeric Free Flap

• Do SB
• Kim JH
• Chung CH

• KMID: 2375468
• DOI: http://doi.org/10.12790/jkssh.2017.22.1.57

Abstract

It is not easy to decide whether covering soft tissue defect occurred in multiple adjacent fingers with a single, large flap and later secondary division of fingers or cover each digits independently in hand reconstruction. The authors reconstructed soft tissue defect of left second and third finger with medial plantar artery based medialis pedis and medial plantar chimeric free flap and it enabled early rehabilitation without secondary surgery to divide each fingers and get satisfactory result.

Keyword

Medialis pedis; Medial plantar; Chimeric

MeSH Terms

Arteries
Fingers
Free Tissue Flaps*
Hand*
Rehabilitation

Figure

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  Fig. 1 (A) Preoperative photograph shows incomplete amputation of left index, long, ring finger. (B) Soft tissue defect of left index and long finger with exposed flexor tendon after primary surgery.

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  Fig. 2 Intraoperative photograph. (A) Marking of medial plantar artery and its branches using Doppler sonography. (B) Elevated medialis pedis and medial plantar chimeric free flap. (C) Covered soft tissue defect of left index and long finger by medialis pedis and medial plantar chimeric free flap.

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  Fig. 3 (A) Postoperative photograph before debulking. (B) After the debulking operation.

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  Fig. 4 Postoperative photograph shows range of motion.

Reference

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