Search

游离双侧双叶骨间背动脉穿支皮瓣修复四指掌侧皮肤缺损一例

目的 总结1例应用游离双侧双叶骨间背动脉穿支皮瓣修复4指掌侧皮肤缺损的方法及疗效。 方法2011年10月收治1例35岁左手机器绞伤男性患者，清创后示、中、环、小指掌侧皮肤软组织缺损范围为5.0 cm × 2.5 cm～10.0 cm × 3.0 cm，采用大小为6.0 cm × 3.0 cm～10.0 cm × 3.5 cm的游离双侧双叶骨间背动脉穿支皮瓣修复创面。供区游离植皮修复。 结果术后皮瓣及植皮均成活，创面Ⅰ期愈合。患者获随访7个月，皮瓣外形、质地良好。末次随访时示、中、环、小指关节主动活动度分别为210、90、90、70°。 结论游离双侧双叶骨间背动脉穿支皮瓣修复4指掌侧皮肤软组织缺损可获得较好近期疗效。

前臂骨间背侧逆行岛状皮瓣的临床应用

REPAIR OF CLAW HAND AFTER BURN BY POSTERIOR INTEROSSEOUS VASCULARIZED FASCIAL FLAP OF FOREARM

Repairs of the wornds arter cicatricial resection in 15 cases of claw hands after burn by retrograde transfer of posterior interosscous vascularized fascial flap, of forearm were reported. The function of the hand was improved. The deformities were corrected by arthroplasty or arthodesis. The applied anatomy and operatirc techniques were introduced. The intraoperative problems were discussed.