Molski M, Stańczyk J, Murawski M
Klinika Chirurgii Plastycznej, Centrum Medyczne Kształcenia Podyplomowego w Warszawie.
Chir Narzadow Ruchu Ortop Pol. 2001;66(1):19-27.
Results of treatment of 13 patients with extensive defects of soft tissues in the upper extremities treated with pedicled radial forearm flaps are presented (11 fascio-cutaneous flaps and 2 adiposo-cutaneous). The group included 5 females and 8 males aged 9-85 years (mean age: 37 years). The defects followed trauma in 12 cases and in one case it was the result of oncological resection. The flap was used as a primary procedure in 4 cases after amputation of the finger or degloving of the hand. The flap appeared very useful in delayed reconstructions in older patients with extensive defects of soft tissues and bones, especially in the elbow region. Complete survival of all flaps with very good late results were obtained. Donor sites were covered with skin grafts and healed correctly in 11 patients. In two patients healing of the donor site prolonged in time for over 6 weeks. No other complications were observed using this method.
本文介绍了采用带蒂桡侧前臂皮瓣治疗13例上肢广泛软组织缺损患者的结果（11例筋膜皮瓣和2例脂肪皮瓣）。该组包括5名女性和8名男性，年龄9 - 85岁（平均年龄：37岁）。12例缺损由创伤引起，1例为肿瘤切除所致。在4例手指截肢或手部脱套伤后，皮瓣作为一期手术使用。皮瓣在老年患者软组织和骨骼广泛缺损的延迟重建中似乎非常有用，尤其是在肘部区域。所有皮瓣均完全存活，后期效果良好。供区用皮肤移植覆盖，11例患者愈合良好。2例患者供区愈合时间延长超过6周。使用该方法未观察到其他并发症。
