Objective To introduce the clinical effect of free perforator flap in repairing wound and contracture of first web space. Methods Fourteen cases of skin contracture or defect of first web space,treated with free perforator flap. Seven cases which had much larger defect, were treated by femoral anterolateral perforator flap, 4 cases of smaller defect, were treated by the arm lateral perforator flap, other 3 cases were repaired by plantar medial perforator flap. All cases were followed up for 6 months to 3 years, to evaluate their function and appearance. Results Thirteen cases successfully survived, the wound were repaired just one time;1 case of emergency repair had infection, after dressing, had secondary suture. Conclusion Perforator flap in repairing wound and contracture of first web space, can gain good appearance and function.
Chinese Journal of Practical Hand Surgery
First web space
Free perforator flap