OBJECTIVE To investigate the clinical result in repair of soft tissue defect with combined skin flap vascularized by pedicle on the one end and vascular anastomosis on the other end. METHODS From October 1990 to August 1995, 5 cases with soft tissue defect at the extremities and 1 cases with sacral bed sore were repaired by the combined skin flaps transfer, ranged from 15 cm x 30 cm to 16 cm x 70 cm in defect, among them, 5 cases with myocutaneous flap and 1 case with skin flap, and the size of the combined skin flaps was 15 cm x 40 cm to 12 cm x 80 cm. RESULTS All the flaps were survived with satisfactory effect. Followed up 3 to 6 years, there was no obvious complication. CONCLUSION Transfer of combined skin flaps vascularized by pedicle and vascular anastomosis is suitable to repair the soft tissue defect, especially in large area defect.
Ten cases of oblique skin defects of fin-gertips repaired by combined skin flaps werereported. The maximal length of flap ad-vancement was 2. 5cm. which could coveran area of 2.0x2. 7cm. The patients neednot to be hospitalized, Fair skin sensationand good blood supply could be obtained,and the finger could preserve maximallength. Follow- up in 8 cases showed thatthe pulps of fingers were plump with nearlynormal joint movement and two- point dis-criminatiom of 3-6mm.