Rogachefsky R A, Mendietta C G, Galpin P, Ouellette E A
Division of Hand Surgery, University of Miami School of Medicine, Florida, USA.
J Hand Surg Br. 2000 Aug;25(4):385-9. doi: 10.1054/jhsb.2000.0410.
Six patients with severe hand and forearm injuries involving open wounds and exposed structures were treated with reverse radial forearm fascial flaps and split-thickness skin grafts for soft tissue cover. There were five men and one woman aged between 16 and 36 years. Injuries included soft tissue avulsion on the dorsum of the hand and fingers, extensive flexor and extensor tendon damage, multiple phalangeal fractures, a grade IIIB open dislocation of the index to little carpometacarpal joints, a grade III open metacarpal fracture and a finger amputation. The average wound size was 9 cm in length and 7 cm in width. The mean duration of follow-up was 12 months (range, 5-20 months). All flaps healed well, and all patients were satisfied.
6例严重手部和前臂损伤患者，伴有开放性伤口和外露组织，采用桡侧前臂逆行筋膜瓣和中厚皮片移植进行软组织覆盖治疗。患者共5男1女，年龄在16至36岁之间。损伤包括手背和手指的软组织撕脱、广泛的屈指肌腱和伸指肌腱损伤、多发性指骨骨折、示指至小指腕掌关节ⅢB级开放性脱位、Ⅲ级开放性掌骨骨折和1例手指离断。平均伤口大小为长9 cm、宽7 cm。平均随访时间为12个月（范围5至20个月）。所有皮瓣愈合良好，所有患者均满意。
