ObjectiveTo explore the application effect of forearm free arterialized venous flaps in repairing soft tissue defect of the hand. MethodsNinety patients with hand soft tissue defect were selected as observed subjects, of which 45 cases (control group) received distal forearm palmar arterialized venous flaps, while the other 45 cases (observation group) received forearm free arterialized venous flaps. The clinical effect was compared between the two groups. ResultsIn comparison with the control group, the observation group yielded higher flap survival rate (97.78% vs. 82.22%) and skin recovery rate (95.56% vs. 82.22%), whereas shorter healing duration and smaller two points of flap tactile discrimination, as well as a lower incidence of adverse reactions (4.44% vs. 13.33%, all P＜0.05). The scores of total active motion (TAM) at time of 1 week, 1 month and 2 months after operation were significantly higher in the observation group than in the control group (all P＜0.05). There was no statistically significant difference in severe pigmentation rate between the two groups(P＞0.05). ConclusionForearm free arterialized venous flaps has a significant effect in repairing hand soft tissue defect, with a good functional recovery of hand and a low incidence of adverse reactions after operation.

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