Sano Kazufumi, Kimura Kazumasa, Ozeki Satoru
Department of Orthopaedic Surgery, Dokkyo Medical University Koshigaya Hospital, Saitama, Japan.
J Plast Surg Hand Surg. 2012 Apr;46(2):128-31. doi: 10.3109/2000656X.2011.588453.
The regional first web flap is a distally-based flap that is raised from the radiodorsal aspect of the metacarpophalangeal joint of the index finger towards the dorsal first web, and used to cover a thumb amputation. The advantage of this flap over the conventional cross-finger flap is that is gives a thicker and hairless flap with no skin graft to the donor site. Mobilisation of the joints, including the metacarpophalangeal joint of the index finger, can also be maintained during the immobilisation period between two stages.
区域第一蹼状皮瓣是一种以远侧为蒂的皮瓣，从食指掌指关节的桡背侧掀起，向第一背侧蹼延伸，用于覆盖拇指截肢创面。与传统的邻指皮瓣相比，该皮瓣的优点在于其提供的皮瓣更厚且无毛，供区无需植皮。在两期手术的固定期间，包括食指掌指关节在内的关节活动度也能得以维持。
