Helaly P, Meuli C
Klinik für Plastische und Wiederherstellungschirurgie des Kantonsspitals Aarau.
Handchir Mikrochir Plast Chir. 1990 Sep;22(5):232-9.
Our experiences in eight radial forearm flaps as free flaps or island flaps are shown. Indications for the use of these flaps in the hand are shown and advantages and disadvantages mentioned. Since 1980, when Mühlbauer and others brought the idea of this flap from China to Europe, its use as an island or as a free flap has been mentioned repeatedly. Generally the safety of this flap and the ease of harvesting are stressed. Other advantages are the long vascular pedicle and the large size of the vessels. These advantages are a temptation to use this flap for indications where it is not really suitable and where other methods are better. It has to be stressed that the donor site is not without problems from an esthetic and functional point of view. The removal of the radial artery, even when replaced by a venous graft may have some drawbacks.
本文展示了我们使用八块桡侧前臂皮瓣作为游离皮瓣或岛状皮瓣的经验。文中列出了在手部使用这些皮瓣的适应症，并提及了其优缺点。自1980年米尔鲍尔等人将这种皮瓣的理念从中国引入欧洲以来，其作为岛状皮瓣或游离皮瓣的应用被多次提及。一般来说，人们强调这种皮瓣的安全性和切取的便利性。其他优点包括血管蒂长和血管管径大。这些优点诱使人们将此皮瓣用于一些并非真正适合且有其他更好方法的适应症。必须强调的是，从美学和功能角度来看，供区并非没有问题。即使采用静脉移植来替代桡动脉，其切除仍可能存在一些缺点。
