Preliminary application of antibiotic bone cement directly inducing skin regeneration technology in repairing of wound in lateral toe flap donor area_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

ZHOU Jian , ZHENG Yucen , CHEN Wei , CHANG Shusen ,  WEI Zairong , NIE Kaiyu , ZHANG Fang , LI Shujun , GONG Feiyu , ZHOU Jian , ZHENG Yucen , CHEN Wei , CHANG Shusen ,  WEI Zairong , NIE Kaiyu , ZHANG Fang , LI Shujun , GONG Feiyu

Department of Plastic Surgery and Burns, Affiliated Hospital of Zunyi Medical University, Zunyi Guizhou, 563003, P. R. China;

Corresponding author：

WEI Zairong, Email: zairongwei@163.com; WEI Zairong, Email: zairongwei@163.com

Keywords：

Antibiotic bone cement; lateral toe; flap donor site; wound repair

DOI：

10.7507/1002-1892.202401054

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Objective To investigate the feasibility and effectiveness of antibiotic bone cement directly inducing skin regeneration technology in the repairing of wound in the lateral toe flap donor area. Methods Between June 2020 and February 2023, antibiotic bone cement directly inducing skin regeneration technology was used to repair lateral toe flap donor area in 10 patients with a total of 11 wounds, including 7 males and 3 females. The patients’ age ranged from 21 to 63 years, with an average of 40.6 years. There were 3 cases of the distal segment of the thumb, 2 cases of the distal segment of the index finger, 1 case of the middle segment of the index and middle fingers, 1 case of the distal segment of the middle finger, and 3 cases of the distal segment of the ring finger. The size of the skin defect of the hand ranged from 2.4 cm×1.8 cm to 4.3 cm×3.4 cm. The disease duration ranged from 1 to 15 days, with an average of 6.9 days. The flap donor sites were located at fibular side of the great toe in 5 sites, tibial side of the second toe in 5 sites, and tibial side of the third toe in 1 site. The skin flap donor site wounds could not be directly sutured, with 2 cases having exposed tendons, all of which were covered with antibiotic bone cement. Results All patients were followed up 6 months to 2 years, with an average of 14.7 months. All the 11 flaps survived and had good appearance. The wound healing time was 40-72 days, with an average of 51.7 days. There was no hypertrophic scar in the donor site, which was similar to the color of the surrounding normal skin; the appearance of the foot was good, and wearing shoes and walking of the donor foot were not affected. Conclusion It is a feasible method to repair the wound in the lateral foot flap donor area with the antibiotic bone cement directly inducing skin regeneration technology. The wound heals spontaneously, the operation is simple, and there is no second donor site injury.

Citation： ZHOU Jian, ZHENG Yucen, CHEN Wei, CHANG Shusen, WEI Zairong, NIE Kaiyu, ZHANG Fang, LI Shujun, GONG Feiyu. Preliminary application of antibiotic bone cement directly inducing skin regeneration technology in repairing of wound in lateral toe flap donor area. Chinese Journal of Reparative and Reconstructive Surgery, 2024, 38(4): 474-479. doi: 10.7507/1002-1892.202401054 Copy

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3. 周建辉, 石惠文, 冷树立, 等. 踇趾腓侧折叠皮瓣修复拇指全指腹缺损. 中华手外科杂志, 2023, 39(2): 176-178.
4. 周建辉, 石惠文, 冷树立, 等. 踇趾腓侧折叠皮瓣修复拇指全指腹缺损. 中华手外科杂志, 2023, 39(2): 176-178.
5. 王玥, 赵玲珑, 滕云升, 等. 改良踇趾腓背侧皮瓣游离移植修复指背大面积软组织缺损. 中华手外科杂志, 2018, 34(4): 308-309.
6. 王玥, 赵玲珑, 滕云升, 等. 改良踇趾腓背侧皮瓣游离移植修复指背大面积软组织缺损. 中华手外科杂志, 2018, 34(4): 308-309.
7. 刘亦杨, 沈立锋, 林炳远, 等. 游离踇趾腓侧皮瓣移植修复儿童手部创伤性软组织缺损. 中华小儿外科杂志, 2020, 41(3): 262-267.
8. 刘亦杨, 沈立锋, 林炳远, 等. 游离踇趾腓侧皮瓣移植修复儿童手部创伤性软组织缺损. 中华小儿外科杂志, 2020, 41(3): 262-267.
9. 周健, 魏在荣, 孙广峰, 等. 游离第3足趾胫侧微型皮瓣修复手指末节指腹皮肤软组织缺损. 中华烧伤杂志, 2019, 35(3): 205-208.
10. 周健, 魏在荣, 孙广峰, 等. 游离第3足趾胫侧微型皮瓣修复手指末节指腹皮肤软组织缺损. 中华烧伤杂志, 2019, 35(3): 205-208.
11. 周健, 杨孝明, 周丕育, 等. 应用游离踇趾腓侧皮瓣急诊修复拇指指指腹创面. 中华整形外科杂志, 2014, 30(6): 264-465.
12. 周健, 杨孝明, 周丕育, 等. 应用游离踇趾腓侧皮瓣急诊修复拇指指指腹创面. 中华整形外科杂志, 2014, 30(6): 264-465.
13. 李海建, 李甲, 闫杨士, 等. 应用双足踇趾腓侧游离皮瓣同期修复双手指远节指腹缺损. 中华手外科杂志, 2023, 39(2): 129-132.
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Chinese Journal of Reparative and Reconstructive Surgery

Preliminary application of antibiotic bone cement directly inducing skin regeneration technology in repairing of wound in lateral toe flap donor area

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