Cavadas P C
Division of Reconstructive and Hand Surgery, Centro de Rehabilitación de Levante, Valencia, Spain.
Plast Reconstr Surg. 2001 Sep 15;108(4):897-901. doi: 10.1097/00006534-200109150-00012.
The anatomy of the posterior interosseous vessels makes them suitable as a donor area of free flap. The skin island can be designed on the perforating vessels of the distal third of the forearm, up to the dorsal wrist crease, to increase the pedicle length (7 to 9 cm). A series of nine flaps transferred to reconstruct hand defects is presented. All flaps were designed over the dorsal distal forearm, and dimensions permitted direct closure of the donor site (up to 4 to 5 cm wide). Apart from a linear scar, donor morbidity was negligible. All transfers were successful. Although its dissection is somewhat tedious, the anatomy of the vascular pedicle is suitable for microanastomosis and the skin island is thin, although hairy. The posterior interosseous free flap with extended pedicle may be a good choice when limited amounts of thin skin and a long vascular pedicle are needed.
骨间后血管的解剖结构使其适合作为游离皮瓣的供区。皮岛可设计在前臂远端三分之一的穿支血管上，直至腕背横纹，以增加蒂的长度（7至9厘米）。本文介绍了一系列用于修复手部缺损的9例皮瓣移植。所有皮瓣均设计在前臂远端背侧，其大小允许直接闭合供区（宽达4至5厘米）。除了一条线性瘢痕外，供区并发症可忽略不计。所有移植均获成功。尽管其解剖操作有些繁琐，但血管蒂的解剖结构适合显微吻合，皮岛较薄，虽有毛发。当需要少量薄皮肤和长血管蒂时，带延长蒂的骨间后游离皮瓣可能是一个不错的选择。
