Hallock G G, Rice D C, Keblish P A, Arangio G A
Division of Plastic Surgery, Allentown Affiliated Hospitals, PA.
Ann Plast Surg. 1988 Jan;20(1):14-25. doi: 10.1097/00000637-198801000-00005.
Large foot defects unsuitable for reconstruction by local foot flaps are most expediently salvaged with distant free-tissue transfers. Although muscle flaps are preferred for infected wounds, coverage of the clean or acute foot deformity may be better achieved with the innervated radial forearm fasciocutaneous flap. This almost ideal donor site has been used by us for all traumatic foot defects requiring free flaps during the previous year. Our results document that in the 5 available clinical examples, restoration of normal foot contour, durability during ambulation, and an excellent aesthetic appearance were achieved.
不适合用足部局部皮瓣修复的大面积足部缺损，最便捷的挽救方法是采用远位游离组织移植。虽然对于感染伤口首选肌皮瓣，但对于清洁伤口或急性足部畸形，带神经的桡侧前臂筋膜皮瓣可能能更好地实现覆盖。在前一年，我们已将这个几乎堪称理想的供区用于所有需要游离皮瓣修复的创伤性足部缺损。我们的结果表明，在5个可用的临床病例中，实现了足部正常外形的恢复、行走时的耐用性以及极佳的美观效果。
