Schaverien Mark V, Hart Andrew M
Department of Plastic and Reconstructive Surgery, Ninewells Hospital, Dundee DD1 9SY, UK.
Canniesburn Plastic Surgery Unit, Glasgow Royal Infirmary, The University of Glasgow, Jubilee Building, 84 Castle Street, Glasgow G4 0SF, UK.
Hand Clin. 2014 May;30(2):165-83, v-vi. doi: 10.1016/j.hcl.2014.01.001.
Restoration of structure, function, and sensation are critical after trauma or tumor resection of the hand. Thorough debridement, reconstruction of functional structures, and immediate soft tissue coverage are most effectively performed in a single stage within approximately 24 hours of the injury. Skin flaps provide robust, pliable, and cosmetically appropriate tissue that is not prone to contracture and that facilitates secondary reconstructive work. Muscle flaps retain indications for complex defects with substantial initial contamination or dead space, or for reanimation. In this article, the indications, options, and surgical techniques for free muscle flap reconstruction of upper limb defects are reviewed.
手部创伤或肿瘤切除术后，恢复其结构、功能和感觉至关重要。在受伤后约24小时内，于单一阶段最有效地进行彻底清创、功能结构重建及即时软组织覆盖。皮瓣可提供坚固、柔韧且美观合适的组织，不易发生挛缩，并便于二期重建工作。肌皮瓣仍适用于存在大量初始污染或死腔的复杂缺损，或用于功能重建。本文将对上肢缺损游离肌皮瓣重建的适应证、选择及手术技术进行综述。
