Exploration and consideration for the utilization of local skin flap in repairing hand do-nor site

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Author: Jun-Jie QIU ¹ Yu ZHAO ¹ Qi-Peng WU ²  Yuan XIONG ^3, ⁴

Affiliation: 1. Department of Plastic Surgery, Sanya Hospital of Traditional Chinese Medicine, Sanya 572000, Hainan Province, China 2. Department of Hand Surgery, Wuhan Fourth Hospital, Wuhan 430030, China 3. Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China 4. Division of Chemistry and Biological Chemistry, School of Physical and Mathematical Sciences, Nanyang Techno-logical University, Singapore 637371, Singapore

Keywords: Finger defect Skin flap Local skin flap Repair

DOI: 10.12173/j.issn.1004-4337.202301016

Reference: Qiu JJ, Zhao Y, Wu QP Xiong Y. Exploration and consideration for the utilization of local skin flap in repairing hand donor site[J]. Journal of Mathematical Medicine, 2023, 36(1): 9-15. DOI: 10.12173/j.issn.1004-4337.202301016.[Article in Chinese]  Copied

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Abstract

Objective To summarize the latest literature on the current typical finger retrograde island flap repair, analyze the problems existing in the repair of the hand donor site, and find a better solution for the problem of hand donor site repair through surgical design.

Methods Four domestic and foreign medical research databases were retrieved for the literature on local flap repair of the hand donor area. Furthermore, we systematically analyzed the results of 67 studies published from 2018 to 2022 that met the literature screening criteria. Moreover, the included literature was sorted out, summarized, and combined with specific cases, the advantages and disadvantages of the three commonly-used operations were discussed. Finally, we shed new sights on the feasibility and advancement of the restoration methods for the donor areas.

Results Through the systematic analysis of the literature and cases, it was found that the local flap could repair the donor area of proximal finger in the design scheme, and solve the exist-ing problems including excessive tension, surgical scar, skin graft contraction and color difference.

Conclusion The local flap can not only repair the defect of the donor area in the proximal finger, but also be a better choice for repair-ing the donor area of the hand with a relatively simple operation.

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