Landi A, Luchetti R, Soragni O, De Santis G, Sacchetti G L
Institute of Orthopaedics, University of Modena, Italy.
Ann Plast Surg. 1991 Dec;27(6):527-36. doi: 10.1097/00000637-199112000-00003.
Eight patients with skin coverage of the hand by the distally based posterior interosseous island flap (DBPIIF) are presented. The first web was reconstructed in 6 and the volar and dorsal aspect of the hand in 2 patients. Primary closure of the donor sites has always been possible. An echo Doppler examination is indicated to verify the presence and size of the vessel and the direction of its flow. The dissection of the vascular pedicle, however, is frequently quite complex and time consuming. To better appreciate the cosmetic aspect of the DBPIIF and its donor site, a random study has been undertaken to compare this flap with the radial forearm and the groin flap and their corresponding donor sites. Females have more often preferred the groin flap, whereas doctors preferred the DBPIIF. Reliability, a good aesthetic result at the donor site, and the preservation of the main vessels of the hand are the specific merits of the DBPIIF.
本文报告了8例采用以远侧为蒂的骨间后岛状皮瓣（DBPIIF）修复手部皮肤缺损的患者。6例患者的第一掌骨间隙得到重建，2例患者的手掌掌侧和背侧得到修复。供区均一期缝合。建议行超声多普勒检查以确认血管的存在、大小及其血流方向。然而，血管蒂的解剖常常相当复杂且耗时。为了更好地了解DBPIIF及其供区的美容效果，已进行一项随机研究，将该皮瓣与桡动脉前臂皮瓣和腹股沟皮瓣及其相应供区进行比较。女性更多地倾向于选择腹股沟皮瓣，而医生则更倾向于DBPIIF。可靠性、供区良好的美学效果以及手部主要血管的保留是DBPIIF的特殊优点。
