Soft-tissue Defect Coverage on the Dorsum of Hands with Distally Based Dorsal Forearm Fasciosub-cutaneous Flap

Abstract：Objective To summarize clinical application results of the repair soft tissue defects with exposure of bonds or tendons on the dorsum of hands with distally based dorsal forearm fasciosubcutaneous flap transplantation. Methods From January 2009 to January 2013,10 patients(8 men,2 women)with soft-tissue defect on the dorsum of hands underwent recon-struction with distally based dorsal forearm fasciosubcutaneous flap transplantation( without microvascular anastomoses). They ranged in age from 20 to 49 years(mean 29. 8 years). The operative time after injury was from 3 hours to 4 weeks(mean 18 days ). The immediate coverage of the fasciosubcutaneous flaps were performed by a meshed splitthickness skin graft. The do-nor site was closed directly. Results One case in them,recipient area edge developed small wound dehiscence,which sponta-neous heal 2 weeks after surgery. Two cases that developed minimal skin graft loss were treated successfully with a subsequent split-thickness skin graft. All the fasciosubcutaneous flaps had survived completely. Follow-up period ranged form 1. 5 to 3 years(mean 2. 5 years)postoperatively. A good contour was confirmed at the recipient area. Satisfactory clinical results were obtained in all cases. Conclusion Distally based dorsal forearm fasciosubcutaneous flap is particularly useful the repair soft tissue defects with exposure of bonds or tendons on the dorsum of hands. This technique is safe and reliable and minimal donor site lesion.