Levin L S, Erdmann D
Division of Plastic, Reconstructive, Maxillofacial and Oral Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina, USA.
Hand Clin. 2001 Aug;17(3):447-55, ix.
Tissue defects of the upper extremity may result from trauma, tumor resection, infection, and congenital malformation. Restoration of anatomy and functional integrity may require microsurgical free flap transfer for coverage of bones, nerves, blood vessels, or tendons. Microsurgical tissue transfer also may be required prior to secondary reconstruction, such as tendon transfers or nerve or bone grafts. This article addresses indications for upper extremity reconstruction using microsurgical tissue transfer flap selection and strategies including primary and secondary reconstruction.
上肢组织缺损可能由创伤、肿瘤切除、感染和先天性畸形引起。恢复解剖结构和功能完整性可能需要进行显微外科游离皮瓣移植，以覆盖骨骼、神经、血管或肌腱。在进行二次重建之前，如肌腱转移、神经或骨移植，也可能需要进行显微外科组织移植。本文探讨了使用显微外科组织移植进行上肢重建的适应症、皮瓣选择以及包括一期和二期重建在内的策略。
