手部局部皮瓣
Local flaps of the hand.
作者信息
Rehim Shady A, Chung Kevin C
机构信息
Section of Plastic Surgery, Department of Surgery, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5340, USA.
Section of Plastic Surgery, University of Michigan Medical School, University of Michigan Health System, 2130 Taubman Center, SPC 5340, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5340, USA.
出版信息
Hand Clin. 2014 May;30(2):137-51, v. doi: 10.1016/j.hcl.2013.12.004.
Abstract
A local flap consists of skin and subcutaneous tissue that is harvested from a site near a given defect while maintaining its intrinsic blood supply. Local skin flaps can be a used as a reliable source of soft tissue replacement that replaces like with like. Flaps are categorized based on composition, method of transfer, flap design, and blood supply, but flap circulation is considered the most critical factor for the flap survival. This article reviews the classification of local skin flaps of the hand and offers a practical reconstructive approach for several soft tissue defects of the hand and digits.
摘要
局部皮瓣由皮肤和皮下组织构成，取自给定缺损部位附近，同时保留其自身血供。局部皮瓣可作为可靠的软组织替代来源，实现同类组织替换。皮瓣根据其组成、转移方法、皮瓣设计和血供进行分类，但皮瓣血循环被认为是皮瓣存活的最关键因素。本文回顾了手部局部皮瓣的分类，并针对手部和手指的几种软组织缺损提供了一种实用的重建方法。
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本文引用的文献
1
Local flaps, including pedicled perforator flaps: anatomy, technique, and applications.局部皮瓣，包括带蒂穿支皮瓣：解剖、技术和应用。
Plast Reconstr Surg. 2013 Jun;131(6):896e-911e. doi: 10.1097/PRS.0b013e31828bd89f.
2
3
Intrinsic flaps in the hand.手部固有皮瓣。
Clin Plast Surg. 2011 Oct;38(4):729-38. doi: 10.1016/j.cps.2011.07.007.
4
Scar contractures of the hand.手部瘢痕挛缩
Clin Plast Surg. 2011 Oct;38(4):591-606. doi: 10.1016/j.cps.2011.08.005.
5
Application of the dorsal metacarpal artery perforator flap for resurfacing soft-tissue defects proximal to the fingertip.应用指背动脉皮穿支皮瓣覆盖近指尖部的软组织缺损。
Plast Reconstr Surg. 2011 Sep;128(3):166e-178e. doi: 10.1097/PRS.0b013e318221ddfa.
6
Refinements in dorsoulnar flap of the thumb: 15 cases.
J Hand Surg Am. 2010 Aug;35(8):1356-9. doi: 10.1016/j.jhsa.2010.05.016.
7
Reverse homodigital dorsoradial flap for thumb soft tissue reconstruction: surgical technique.用于拇指软组织重建的逆行同指背桡侧皮瓣：手术技术
J Hand Surg Am. 2010 Apr;35(4):659-62. doi: 10.1016/j.jhsa.2010.01.013.
8
Soft tissue reconstruction of the hand.手部软组织重建
J Hand Surg Am. 2009 Jul-Aug;34(6):1148-55. doi: 10.1016/j.jhsa.2009.04.035.
9
The versatile rhomboid (Limberg) flap.多功能菱形（林伯格）皮瓣。
Can J Plast Surg. 2007 Summer;15(2):67-71. doi: 10.1177/229255030701500207.
10
The evolution and refinements of the distally based dorsal metacarpal artery (DMCA) flaps.以远端为蒂的掌背动脉（DMCA）皮瓣的演变与改良。
J Plast Reconstr Aesthet Surg. 2007;60(7):731-9. doi: 10.1016/j.bjps.2007.03.011. Epub 2007 May 18.
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