Abstract
Background
Medial femoral condyle(MFC) flap is frequently used in hand reconstruction, but like
other buried flaps, MFC is not easy to monitor and follow.In this study, we present
our adipofascial and periosteal tissue technical modifications and results for MFC
free flap monitoring and compare different monitoring methods.
Methods
Twenty one patients with wrist bone or metacarpal defect reconstructed with MFC flap
were included in the study. Adipofascial tissue in wrist defect and periosteal tissue
in metacarpal defect were selected as MFC flap's monitor. Patient characteristics,
type of injury, flap size, early or late-period complications, flap elevation time,satisfaction
scale, visual analogue scale (VAS) and postoperative X-ray view were noted.
Results
There were 3 female and 18 male patients in the study. The mean age of the patients
was 50.8 (38–68). The elevation times of flaps with adipofascial and periosteal monitors
were 48 and 53.3 min, respectively. The satisfaction scale averages for the adipofascial
and periosteal monitor groups were 3.5 and 3.54, respectively. The VAS scores of the
adipofascial and periosteal monitor groups were 2.9 and 3.9, respectively. The flap
sizes with periosteal and adipofascial monitors were 10.48 cm3 and 1.36 cm3, respectively. There was no statistically significant difference between flap elevation,
VAS, and satisfaction scale (>0.05). There was a statistically significant difference
in flap sizes. (<0.05)
Conclusion
MFC free flap is frequently used in wrist and metacarpal reconstruction. Monitor selection
according to the defect area positively affects the prognosis of the flap in the postoperative
period.
Keywords
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Article info
Publication history
Published online: September 20, 2022
Accepted:
September 19,
2022
Footnotes
✰- This article has never been presented at any meetings.
✰✰No funding.
Identification
Copyright
© 2022 Elsevier Ltd. All rights reserved.
