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Abstract

Purpose: From May 2000 to January 2008, We experienced the 10 cases of the thenar free flap for the coverage of the large volar soft tissue defect in the finger. Methods: The pedicles of the flap were the superficial palmar artery of radial artery and subcutaneous vein, and we anastomosed them to the digital artery and subcutaneous vein of the finger. Results: The average size of the flaps was $12cm^2$ and it was large enough to cover the entire color soft tissue defect of a phalanx or the defect of the neighbored phalanges. All of donor wounds were closed primarily. Conclusion: The color and skin texture of the flap was matched with the volar skin of the finger functionally and cosmetically and the debulking of the flap was not necessary. Other advantages were constant anatomic pedicle of the flap, minimal donor site morbidity, one operation field. We consider that the thenar free flap is another reliable and useful method for the reconstructing of the large volar defect of the finger especially at the situation of emergency.

주제어

#Thenar free flap  

참고문헌 (9)

  1. Lee DC, Kim JS, Ki SH, Roh SY, Yang JW, Chung KC: Partial second toe pulp free flap for fingertip reconstruction. Plast Reconstr Surg 3: 121, 2008 
  2. Tsai TM, Martin D: Revascularization of a finger with a thenar mini-flap. J Hand Surg 16A: 604, 1991 
  3. Okazaki M, Hasegawa H, Kano M, Kurashina R: A different method of fingertip reconstruction with the thenar flap. Plast Reconstr Surg 115: 885, 2005 
  4. Cohen BE, Cronin ED: An innervated cross-finger flap for fingertip reconstruction. Plast Reconstr Surg 72: 688, 1983 
  5. De Lorenzi F, van der Hulst RR, den Dunnen WF, Vranckx JJ, Vandenhof B, Francois C, Boeckx WD: Arterialized venous free flaps for soft-tissue reconstruction of digits: a 40-case series. J Reconstr Microsurg 18: 569, 2002 
  6. Omokawa S, Ryu J, Tang JB, Han JS: Vascular and neural anatomy of the thenar area of the hand: its surgical application. Plast Reconstr Surg 99: 116, 1997 
  7. Lee GJ, Kim KC, Yu SO, Bek JD, Kim JS, Woo SH: Reconstruction of soft tissue defects of multiple digits with arterialized venous free flap. J Korean Soc Surg Hand 9: 12, 2004 
  8. Cho SB, Choi JK, Lee DC, Kim YH, Whang JI: Reconstruction of the skin defects of the hand using versatile venous free flaps. J Korean Soc Plast Reconstr Surg 22: 875, 1995 
  9. Kamei K, Ide Y, Kimura T: A new free thenar flap. Plast Reconstr Surg 92: 1380, 1993 

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