Efficacy of the Median Nerve Flap of Free Radial Artery in Repairing Soft Tissue Defect of the Hand
Zhang Kuankuan
Han Zhongbing
Liu Yangyang
Abstract：Objective:The postoperative effect of the superficial branch of radial artery to repair the soft tissue defect of fingers.Methods:A total of 25 patients with hand soft tissue defects were collected from June 2020 to December 2022.All patients took the superficial branch of the radial artery and the free flap to repair the abdominal defect.All postoperative follow-up was obtained to observe the hand shape,hand function and local sensation.Results:Post-operative follow-up was obtained in all 25 patients.All flaps were alive.In 1 patient,the suture was removed the following day,with partial necrosis and no improvement,and the scar faded 3～4 weeks after surgery and healed well.All the patients had beautiful finger appearance,the flexion and extension function of the hand was not affected,the flap was soft,and the hand flap felt good recovery.All affected finger wounds had good recovery,and the resolution of the flap could reach 6～8mm.The function was evaluated according to the trial standard of upper limb function evaluation of Chinese Hand Surgery Association,with 24 cases excellent and 1 good case.Conclusion:The free flap of the superficial branch of the radial artery carrying the superficial branch of the median nerve can effectively repair the skin defect of the hand,and effectively restore the hand appearance,artistry,local sensation and the function of the hand.
Keywords：Wrist crease flapFree skin flapSoft tissue injurySuperficial palmar branch of the radial artery
Publication Date：2024-11-15
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 2599-2601 )