Hülsbergen-Krüger S, Hammer H, Vossmann H
Abteilung für Hand- und Mikrochirurgie, Zentralkrankenhauses St.-Jürgenstrasse in Bremen.
Handchir Mikrochir Plast Chir. 1991 Jul;23(4):183-8.
Soft tissue defects in the lower leg with exposed internal fixation plates frequently pose problems to the surgeon. Substantial defects in the distal lower leg should be covered by free tissue transplantation. Very good results can be achieved in such cases using the radial forearm flap. This flap can be used for covering exposed internal fixation plates in selected patients. The authors present four such cases. The flaps healed well in all cases and fracture healing was without delay. Bone fixation procedure did not have to be changed.
小腿存在软组织缺损且内固定钢板外露的情况常常给外科医生带来难题。小腿远端的大面积缺损应采用游离组织移植进行覆盖。在这类病例中，使用桡侧前臂皮瓣可取得非常好的效果。该皮瓣可用于覆盖部分选定患者外露的内固定钢板。作者展示了4例此类病例。所有病例中皮瓣均愈合良好，骨折愈合未延迟。骨固定程序无需更改。
