Застосування перфорантного клаптя на першій тильній метакарпальній артерії для реконструкції дефектів покривних тканин кисті

The aim  — to increase the efficiency of the defect’s reconstruction of the hand cover tissues considering the functional and aesthetic aspects. Materials and methods. 12 patients with soft tissue defects of the hand were undergoing a surgery with the flap on the first dorsal metacarpal artery and its modification during the period from 2015 to 2018. To assess the effectiveness of treatment, the level of complications and the level of aesthetic and functional state of the hand in 6 months after treatment, the questionnaire «Assessing the level of daily life and quality of life of patients with the injured hand» were used. Results and discussion. The treatment helped to restore the anatomical integrity and function of the hand. According to the questionnaire, the level of everyday life and quality of life of patients with hand disorders in 6 months after treatment was from 23 to 27 points (median — 26.0 ± 1.3 points, which corresponds to a high level of satisfaction with the treatment result. Conclusions. One­stage reconstruction of the soft tissue defects of the hand with the first dorsal metacarpal artery flap plasty allows to increase the efficiency of surgical treatment (provides for the initial closure of the soft tissue defect and the early restoration of the hand function, as well as the restoration of the lost skin without the contours of the hand distortion and deformation of the donor area) and a high level of satisfaction with the treatment results in patient.