Kola N, Isaraj S, Xhepa G, Belba M, Belba G
Burns and Plastic Surgery Service, Mother Teresa University Hospital, Tirana, Albania.
Ann Burns Fire Disasters. 2009 Jun 30;22(2):104-6.
Use of a fascial flap is often required for reconstruction of a skin defect on the dorsum of the hand. For this purpose, a distally based dorsal forearm fasciosubcutaneous flap based on the perforators of the posterior interosseous artery was developed. The distally based dorsal forearm fasciosubcutaneous flap and especially the posterior interosseous artery flap are a convenient and reliable alternative for reconstructing skin defects of the hand after the release of post-burn adduction contracture of web space I involving vital structure exposure. Although the posterior interosseous artery flap is suitable for covering dorsal skin defects of the hand and avoids interference with the forearm's two main arteries, the dissection of the vascular pedicle is frequently quite complex and tedious.
手部背侧皮肤缺损的重建通常需要使用筋膜瓣。为此，基于骨间后动脉穿支设计了一种远端蒂的前臂背侧筋膜皮下瓣。远端蒂的前臂背侧筋膜皮下瓣，尤其是骨间后动脉瓣，是修复I区烧伤后内收挛缩松解并伴有重要结构暴露的手部皮肤缺损的一种方便且可靠的选择。尽管骨间后动脉瓣适用于覆盖手部背侧皮肤缺损并避免干扰前臂的两条主要动脉，但其血管蒂的解剖常常相当复杂且繁琐。
