Chen H C, Buchman M T, Wei F C
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, Republic of China.
Hand Clin. 1999 Nov;15(4):541-54.
With mastery of conventional methods, free flaps are indicated in selected cases for coverage of the hand and fingers. Careful preoperative planning, delicate intraoperative management, and postoperative physiotherapy are the mainstays for success in functional recovery and aesthetic result. Thin flaps of good vascularity are favored for coverage of the hand and finger. For hand surgeons, the lateral arm fasciocutaneous or fascia flap, toe flaps, and the latissimus dorsi flap seem to be the easiest and most useful free flaps applicable to most situations.
掌握传统方法后，在特定情况下可采用游离皮瓣覆盖手部和手指。术前精心规划、术中精细管理以及术后物理治疗是实现功能恢复和美观效果的关键。血管丰富的薄皮瓣有利于覆盖手部和手指。对于手外科医生来说，上臂外侧筋膜皮瓣或筋膜瓣、足趾皮瓣以及背阔肌皮瓣似乎是适用于大多数情况的最简单且最有用的游离皮瓣。
