Special Topic∙Skin Flap and Tissue Expansion·Practice and Skill Innovations
Treatment of the defect on digit and toe with modified Reading man flap
Chu Tinggang, Zhou Feiya, Ding Jian, Wang Anyuan, Zheng Zengming, Jiang Liangfu, Yan Hede, Chen Xinglong
Published 2019-10-25
Cite as Chin J Plast Surg, 2019,35(10): 1000-1003. DOI: 10.3760/cma.j.issn.1009-4598.2019.10.010
Abstract
ObjectiveTo introduce the design of modified Reading man flap, and observe the clinical effect of modified flap for repairing digit and toe wounds.
MethodsFrom July 2014 to September 2017, dorsal skin defects on 37 digits and 18 toes were repaired with our modified Reading man flaps. The revised design was characterized with enlargement the major flap and extending the minor flap proximally, and all donor site defect were sutured primarily through the major flap recover the defect and the minor flap repair the subsequent donor defect.
ResultsAll the detects in 55 patients were repaired by the modified Reading man flaps with direct donor sites closure. With average of 11.5 months (9.5-25.7 months) follow-up, all flaps survived with satisfactory texture and appearance, the bulky deformity and scar contracture did not occur. Partial necrosis of tip in the minor flaps occurred in 2 toes and healed by wound dressing. The function of the toe joints was good and the walking gait was normal. Partially impaired PIP joint function with limited flexion occurred in 2 cases. Based on the TAM evaluation criteria, the results were excellent in 28 digits, good in 7 digits, and the overall satisfactory rate was 94.6%.
ConclusionsThe modified Reading man flap can get good clinical effects for treatment of the digit and toe dorsal skin defect with the advantages of simple procedure, easy transfer and direct closure of donor sites. Flaps appearance and joints function can get good result postoperatively.
Key words:
Surgical flap; Skin defect; Reading man flap; Donor site morbidity
Contributor Information
Chu Tinggang
Department of Hand and Plastic Surgery, Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325027, China
Zhou Feiya
Department of Hand and Plastic Surgery, Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325027, China
Ding Jian
Department of Hand and Plastic Surgery, Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325027, China
Wang Anyuan
Department of Hand and Plastic Surgery, Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325027, China
Zheng Zengming
Department of Hand and Plastic Surgery, Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325027, China
Jiang Liangfu
Department of Hand and Plastic Surgery, Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325027, China
Yan Hede
Department of Hand and Plastic Surgery, Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325027, China
Chen Xinglong
Department of Hand and Plastic Surgery, Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325027, China
