Fukui A, Inada Y, Tamai S, Mizumoto S
Department of Orthopedic Surgery, Omiwa Hospital, Sakurai, Japan.
Microsurgery. 1989;10(2):87-92. doi: 10.1002/micr.1920100202.
A large neurofasciocutaneous flap that consisted of a peroneal flap and a segment of sural nerve was used in the simultaneous reconstruction of a large soft tissue and nerve defect caused by a crushing injury of the distal forearm. A 10 x 15 cm peroneal flap, including a 10 cm segment of sural nerve, was successfully transferred to an 8 x 12 cm skin defect, reconstructing a 5 cm defect of the median nerve. Two years after repair, the opponens pollicis muscle showed good contraction, although palmar abduction of the thumb remained poor. Static two-point discrimination was 20 mm on the pulp surface of both thumb and index finger and 15 mm on the middle finger.
采用一块由腓骨瓣和一段腓肠神经组成的大型神经筋膜皮瓣，同期修复因前臂远端挤压伤导致的大面积软组织和神经缺损。一块10×15厘米的腓骨瓣，包括一段10厘米的腓肠神经，成功转移至一处8×12厘米的皮肤缺损处，修复了5厘米的正中神经缺损。修复两年后，拇对掌肌收缩良好，尽管拇指的掌侧外展功能仍较差。拇指和示指的指腹表面静态两点辨别觉为20毫米，中指为15毫米。
