Nishi G, Shibata Y, Kumabe Y, Hattori S, Okuda T
Department of Orthopaedic Surgery, Alchiken Koseiren Kainan Hospital, Aichi, Japan.
J Reconstr Microsurg. 1989 Oct;5(4):357-65. doi: 10.1055/s-2007-1006886.
Seven cases of arterialized venous skin flaps for the treatment of both skin defects in the fingers, and digital arterial defects, are presented. The method involves taking the skin flaps along with a subcutaneous vein from the flexor side of the distal forearm or the dorsal aspect of the foot, and interpositioning the vein in the flap between the missing digital artery, to cover the skin defect as well as to restore blood circulation. The size of the flaps ranged from 1.0 x 1.0 cm to 4.5 x 3.0 cm. Almost complete survival of flaps was achieved in all cases. This method does not sacrifice any portion of the digital artery, and is also an excellent technique for restoring blood circulation and reconstructing skin defects simultaneously.
本文报道了7例应用动脉化静脉皮瓣治疗手指皮肤缺损及指动脉缺损的病例。该方法是从前臂远端屈侧或足背切取带有皮下静脉的皮瓣，将皮瓣内的静脉移植于缺损的指动脉之间，以覆盖皮肤缺损并恢复血液循环。皮瓣面积为1.0×1.0cm至4.5×3.0cm。所有病例皮瓣均几乎完全成活。该方法不牺牲指动脉的任何部分，是一种同时恢复血液循环和修复皮肤缺损的良好技术。
