Büchler U
Division of Hand Surgery, University of Bern, Switzerland.
Arch Orthop Trauma Surg. 1990;109(6):321-9. doi: 10.1007/BF00636170.
The presence of traumatic soft-tissue defects in the extremity indicates serious damage that may compromise the systems of motion, circulation or sensibility and therefore jeopardize functional rehabilitation. This overview highlights the significance and the various causes of soft-tissue defects, of which several types may be distinguished. Principles for the selection of various flap procedures are outlined, in accordance with the need for elevation and early motion therapy. The requirements placed on flap tissue are described, such as surface characteristics, ability to restore sensibility, cosmesis, capacity to fill voids in the depth of defects and revascularization of adjacent areas.
肢体创伤性软组织缺损的存在表明存在严重损伤，可能会损害运动、循环或感觉系统，从而危及功能康复。本综述强调了软组织缺损的重要性和各种原因，其中可区分出几种类型。根据抬高和早期运动治疗的需要，概述了各种皮瓣手术的选择原则。描述了对皮瓣组织的要求，如表面特征、恢复感觉的能力、美容效果、填充缺损深处空隙的能力以及相邻区域的血管再生。
