Friedrich Jeffrey B, Pederson William C, Bishop Allen T, Galaviz Paula, Chang James
Division of Plastic Surgery, University of Washington, 325 9th Avenue, Box 359796, Seattle, WA 98104 USA.
Hand (N Y). 2012 Mar;7(1):45-54. doi: 10.1007/s11552-011-9385-x. Epub 2012 Jan 4.
With the passage of time, certain hand surgery procedures are anecdotally dubbed "workhorse" techniques. These are procedures that are extremely reliable and have repeatedly demonstrated good results. However, with time, paradigms undergo shifts, and this is as true for hand surgery as any other field. In this article, we will describe the use of three new "workhorse" flaps that we have found to have reliable results in complex hand reconstruction: the pedicled radial forearm fascia flap for dorsal hand reconstruction, the free anterolateral thigh flap for mangled hand reconstruction, and the medial femoral condyle vascularized bone graft for scaphoid fracture nonunion reconstruction.
随着时间的推移，某些手部外科手术被坊间称为“主力”技术。这些手术极为可靠，且反复证明效果良好。然而，随着时间的推移，范式会发生转变，手部外科领域也不例外。在本文中，我们将描述三种新的“主力”皮瓣的应用，我们发现它们在复杂手部重建中具有可靠的效果：用于手背重建的带蒂桡侧前臂筋膜皮瓣、用于毁损手重建的游离股前外侧皮瓣以及用于舟骨骨折不愈合重建的带血管蒂股骨内侧髁骨移植。
