Ozçelik Derya, Uğurlu Kemal, Turan Tuğrul
Department of Plastic and Reconstructive Surgery, Sişli Etfal State Hospital, Istanbul, Turkey.
J Reconstr Microsurg. 2003 Apr;19(3):153-6. doi: 10.1055/s-2003-39827.
Reconstruction with the latissimus dorsi muscle flap, combined with the serratus anterior fascia flap, was performed to cover two large and separate palmar and dorsal forearm skin defects in a patient, whose hand had been replanted 20 days earlier after traumatic amputation at the distal forearm level. As a result, a total forearm amputation was salvaged by microsurgical replantation and a free combined flap of the subscapular system. This new application of the combined flap allowed the reconstruction of large and separate wounds of the replanted hand, and provided gliding surfaces for tendons.
对一名患者进行了背阔肌肌皮瓣联合前锯肌筋膜瓣重建术，以覆盖两个较大且分开的手掌和前臂背侧皮肤缺损。该患者在20天前因前臂远端创伤性截肢后进行了断手再植。结果，通过显微外科再植和肩胛下系统的游离联合皮瓣挽救了全前臂截肢。联合皮瓣的这种新应用允许重建再植手的大且分开的伤口，并为肌腱提供滑动表面。
