caa a22 4500 606248498 CHVBK 20210128101350.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-014-1117-3 doi (NATIONALLICENCE)springer-10.1007/s12262-014-1117-3 Modified Innervated Radial Collateral Artery Perforator Flap for Repairing Digital Defects [Elektronische Daten] [Dajiang Song, Jinsong Li, Kuangwen Li, Jun Liu, Jian Xu] The authors presented their clinical experience and demonstrated surgical methods to reconstruct soft-tissue defects in the digit by using modified innervated radial collateral artery perforator flap. Surgical procedures that involved 12 modified innervated radial collateral artery perforator flaps were performed in 12 patients. Among the patients, two had defects in the thumbs, six had defects in the index fingers, whereas two had defects in the middle fingers, two had defects in the little fingers. The flaps ranged in size from 5.0 × 2.0 to 7.5 × 4.0cm. The pedicle of the flap was divided and ligated below the level at which the radial collateral artery was divided into anterior and posterior branches. The recipient vessels were the proper digital artery and the palmar subcutaneous vein (n = 8), the deep branch of the ulnar palm artery (n = 4), and the venae comitantes. Nerve suture was done between the posterior cutaneous nerve of the arm and the proper digital nerve of the digital. The cosmetic appearance of the donor and recipient sites and static two-point discrimination of the operated finger were evaluated in a follow-up visit. Postoperative venous congestion happened in two cases, and both succeeded after exploration. All flaps survived, and all donor sites were closed directly, leaving a linear scar. Follow-up time ranged from 12 to 28months. Defatting of the flap was performed in two cases during the late postoperative period. Cosmetically acceptable results were achieved for the rest of the patients. The modified innervated radial collateral artery perforator flap is a good option for reconstructing soft-tissue defects in digits. Association of Surgeons of India, 2014 Radial collateral artery nationallicence Innervated nationallicence Soft-tissue defect nationallicence Microsurgery nationallicence Song Dajiang Department of Orthopedics, Changzheng Hospital, The Second Military Medical University, Shanghai, China aut Li Jinsong Department of Orthopedics, The Third Xiangya Hospital of Central South University, Changsha, China University, 410008, Changsha, People's Republic of China aut Li Kuangwen Hand Surgical Centre, Nanhua Hospital, Nanhua University, Henyang, China aut Liu Jun Hand Surgical Centre, Nanhua Hospital, Nanhua University, Henyang, China aut Xu Jian Department of Orthopaedics, Huashan Hospital, Fudan University, Shanghai, China aut Indian Journal of Surgery Springer India 77(2015-12-01), 1032-1037 0972-2068 77<1032 2015 77 12262 https://doi.org/10.1007/s12262-014-1117-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-014-1117-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Song Dajiang Department of Orthopedics, Changzheng Hospital, The Second Military Medical University, Shanghai, China aut NATIONALLICENCE 700 1- Li Jinsong Department of Orthopedics, The Third Xiangya Hospital of Central South University, Changsha, China University, 410008, Changsha, People's Republic of China aut NATIONALLICENCE 700 1- Li Kuangwen Hand Surgical Centre, Nanhua Hospital, Nanhua University, Henyang, China aut NATIONALLICENCE 700 1- Liu Jun Hand Surgical Centre, Nanhua Hospital, Nanhua University, Henyang, China aut NATIONALLICENCE 700 1- Xu Jian Department of Orthopaedics, Huashan Hospital, Fudan University, Shanghai, China aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 1032-1037 0972-2068 77<1032 2015 77 12262