Karacalar Ahmet, Ozcan Mesut
Department of Plastic and Reconstructive Surgery, Medical Faculty of Uludag University, Bursa, Turkey.
Scand J Plast Reconstr Surg Hand Surg. 2005;39(2):109-12. doi: 10.1080/02844310510006402.
We have applied the split flap concept to a distally-pedicled radial forearm flap to cover separate dorsal defects of the fingers in two cases. The rationale is that there are the vascular plexuses inside and around the sensory nerve that permit surgical splitting of the flap. In the split design, the first segment is supplied by the radial artery itself. The second segment is supplied by the neurocutaneous artery of the medial cutaneous nerve.
我们已将劈开皮瓣的概念应用于带蒂的桡侧前臂远端皮瓣，用于覆盖两例手指背侧的不同缺损。其理论依据是感觉神经内部及周围存在血管丛，这使得皮瓣能够进行手术劈开。在劈开设计中，第一部分由桡动脉本身供血。第二部分由内侧皮神经的神经皮动脉供血。
