The Anatomy And Clinical Application Of The Dorsal Pedal And Metacarpal Split Flap

Background Before the 1950s,the skin flaps ,which had been restricted to the ratio of length to width, were almost random pedicle flaps transposed locally. In the past 40 years, the surgical flap has been made advancement as long as fast progress of the anatomy of skin flaps, microsurgical technique, clinical research and so on.Nowadays, the clinical application of surgical flaps are widespread increasingly. People expect so much about the quality of lives that the value of flap surgery comes to be a question. It ought to be necessary not only to repair deficiency, to cover revealing tissue and to restructure the function and outlook of recipient site but also to reduce the injury and to protect the function and outlook of donor site. Therefore, the flap surgery has been standing on the stage of "art and beauty" on account of much higher value of its clinical effect. Meantime, the dorsal metacarpal, pedal flap have come to be the most frequently applied in clinical practices because of the fine texture and elasticity of skin, the soft thinness subcutaneous tissue, the long vaso-pedicle and the cutaneous nerve that can be anastomosed. The traditional dorsal metacarpal , pedal skin flaps have been widespread in covering deficiency and recovering the function and appearance of recipient site . However, it is always troubling us what to do with the donor site. Generally, it does not survive totally after free skin grafting; also, it raises the price and difficulty of operation, that may need a secondary surgery to reshape, when donor area is repaired with skin flap. In one word, it is the center of this dissertation how to deal with the donor site in skin flap...