Russell R C, Guy R J, Zook E G, Merrell J C
Plast Reconstr Surg. 1985 Oct;76(4):586-95. doi: 10.1097/00006534-198510000-00020.
The deltoid fasciocutaneous flap is a thin, reliable flap that is easily dissected from the posterolateral arm. It has large-caliber vessels and is capable of sensory reinnervation to portions of the flap above the deltoid/triceps groove through the lateral brachial cutaneous nerve. There is little sensory return to the large vascular territory, which can be extended inferiorly below the deltoid triceps groove. The donor site can be closed primarily or skin grafted and when large may be objectionable to some patients. The flap is an excellent choice for extremity soft-tissue reconstruction on the plantar or palmar surfaces. Protective sensibility has returned to all reinnervated flaps. We present our experience in 10 patients with extremity problems.
三角肌筋膜皮瓣是一种薄且可靠的皮瓣，易于从臂后外侧解剖获取。它有大口径血管，并且能够通过臂外侧皮神经对三角肌/肱三头肌沟上方的皮瓣部分进行感觉再支配。在三角肌肱三头肌沟下方的大片血管区域几乎没有感觉恢复。供区可以直接缝合或植皮，当供区较大时，可能会让一些患者难以接受。该皮瓣是足底或手掌面肢体软组织重建的极佳选择。所有接受再支配的皮瓣都恢复了保护性感觉。我们介绍了10例肢体问题患者的治疗经验。
