Ratcliffe R J, Regan P J, Scerri G V
Plastic Surgery and Jaw Injury Service, Stoke Mandeville Hospital, Aylesbury, UK.
Br J Plast Surg. 1992 Oct;45(7):544-6. doi: 10.1016/0007-1226(92)90152-n.
Use of the first dorsal metacarpal artery flap to cover extensive pulp defects in the normal length thumb in five patients is described. The advantages of the procedure include provision of sensate cover of exposed distal phalanx to the tip of the thumb with minimal donor site morbidity. Its use, particularly in the older patient, with immediate postoperative mobilisation and the avoidance of nerve repair or more complicated microsurgical procedures, is discussed.
描述了使用第一掌背动脉皮瓣覆盖5例正常长度拇指广泛的指腹缺损。该手术的优点包括为拇指尖部暴露的远节指骨提供有感觉的覆盖，供区并发症最少。讨论了其应用，特别是在老年患者中，术后可立即活动，避免神经修复或更复杂的显微外科手术。
