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A comparison between anterolateral thigh perforator flap and abdominal pedicle flap in repair of hand injuries and tissue defects
Author(s):
1. Yinwei Huang: Department of Microsurgery, The People's Hospital of Yuyao, Yuyao, China.
2. Yefeng Lu: Department of Microsurgery, The People's Hospital of Yuyao, Yuyao, China.
3. Jinlin Cao: Department of Microsurgery, The People's Hospital of Yuyao, Yuyao, China.
4. Xuehui Huang: Department of Microsurgery, The People's Hospital of Yuyao, Yuyao, China.
Abstract:
The purpose of this study was to compare the outcome of anterolateral thigh perforator fl ap and abdominal pedicled lf ap repair for treating traumatic tissue defects of the hand. A total of 140 patients with hand trauma tissue defects were randomly divided (random number table) into Group A and Group B, with 70 cases in each group. Group A was given anterolateral thigh perforator fl ap repair, while Group B was given abdominal pedicled fl ap repair. The healing time of wounds in Group A was noted to be shorter than that in Group B (p<0.001). At one week after surgery, VAS score, serum IL-6 and TNF-a levels in Group A were 4 times lower than those in Group B (p<0.001 for all). Anterolateral thigh perforator fl ap repair works more effectively on traumatic tissue defects of the hands than abdominal pedicled fl ap repair. It reduces pain, shortens wound healing time, and lowers serum IL-6 and TNF-a levels.
Page(s): 876-878
Published: Journal: Journal of Pakistan Medical Association, Volume: 73, Issue: 4, Year: 2023
Keywords:
TNFa , IL6 , Hand , Anterolateral thigh perforator fl ap , abdominal pedicled fl ap repair , traumatic tissue defects
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