Borenstein A, Yaffe B, Kaplan H Y, Engel J
Dept. of Plastic Surgery, Chaim Sheba Medical Center, Tel Hashomer.
Harefuah. 1992 Mar 1;122(5):297-301.
The advantages of free flaps over distant pedicled flaps in hand reconstruction are well documented. They often require only a single operation, do not depend on local conditions of the wound and permit early physiotherapy. The lateral arm free flap is essentially suitable for reconstruction of the hand. It is thin, potentially sensate, and gives nearly perfect skin color and texture match. An additional technical advantage is the possibility of elevating the lateral arm free flap with tourniquet control at the same surgical field as the recipient site. We describe 3 cases of traumatic damage to skin and soft tissue of the hand, in which reconstruction was by both elective and emergency lateral arm, free flap transfer. They demonstrate the merits of this method of reconstruction.
游离皮瓣在手再造中优于远位带蒂皮瓣的优势已有充分文献记载。它们通常只需一次手术，不依赖伤口的局部条件，并允许早期进行物理治疗。上臂外侧游离皮瓣本质上适用于手部再造。它薄，有潜在的感觉功能，且皮肤颜色和质地几乎能完美匹配。另一个技术优势是可以在与受区相同的手术野使用止血带控制来掀起上臂外侧游离皮瓣。我们描述了3例手部皮肤和软组织创伤病例，其中通过择期和急诊上臂外侧游离皮瓣移植进行再造。它们展示了这种再造方法的优点。
