ĐÁNH GIÁ KẾT QUẢ SỚM ĐIỀU TRỊ KHUYẾT HỔNG PHẦN MỀM VÙNG CỔ TAY, BÀN NGÓN TAY BẰNG VẠT BẸN CUỐNG MẠCH LIỀN

Abstract

Background: The hand is a crucial organ performing various functions in daily life, from tasks in production labor to social communication behaviors. The palm area has a unique anatomical structure with a thin dermal layer, making injuries such as tendon and bone exposure common. The palm's central area has thick, firm tissue that is difficult to fold, prone to scar adhesion. Injuries involving tendons, bones, blood vessels, and nerves cannot be simply covered with skin grafts and require coverage with a flap. The continuous fascial flap is applied to treat soft tissue defects in the wrist and fingers due to its numerous advantages. Objective: To describe the clinical characteristics of soft tissue defects in the wrist and fingers and evaluate the treatment outcomes using a continuous fascial flap. Materials and methods: The study was conducted on 31 patients with soft tissue defects in the wrist and fingers treated with a continuous fascial flap. Results: Among the 31 treated patients (25 males and 6 females, average age 38.9±13.1 years), the most common cause was occupational accidents (80.7%). The average flap size was 54,43±40,51 cm² (range 12-160 cm²). The average flap harvesting time was 18.64 ± 2.78 days (range 14-24 days). Conclusion: The continuous fascial flap is an effective and safe method for treating soft tissue defects in the wrist and fingers. This method can be performed at various facilities without requiring advanced surgical techniques or sophisticated equipment, yet it yields good and stable results.