Couceiro José, De la Red-Gallego Mariangeles, Yeste Luis, Ayala Higinio, Sanchez-Crespo Manuel, Velez Olga, Barcenilla Rebeca, Del Canto Fernando
* Hand Surgery Unit, Orthopaedics Department, Hospital Marques de Valdecilla, Cantabria, Spain.
J Hand Surg Asian Pac Vol. 2018 Mar;23(1):128-131. doi: 10.1142/S2424835518720050.
The treatment of extensive soft tissue defects in the thumb with dorsal metacarpal artery flaps has been previously reported in the literature. Island flaps from the dorsum of the index and long fingers have been the subject of many reports and studies. However, when the defect involves the whole thumb, a 360° circumferential defect, standard first or second dorsal metacarpal artery flaps are usually insufficient. There are fewer reports on the use of bilobed flaps for this application and we have found no reports on the use of bilobed racquet flaps or extended seagull flaps as treatment for this condition. We report the salvage of a thumb degloving injury with use of a bilobed racquet flap.
先前已有文献报道使用掌背动脉皮瓣治疗拇指广泛软组织缺损。来自示指和中指背侧的岛状皮瓣一直是许多报道和研究的主题。然而，当缺损累及整个拇指，即360°环形缺损时，标准的第一或第二掌背动脉皮瓣通常是不够的。关于使用双叶皮瓣治疗这种情况的报道较少，而且我们未发现使用双叶球拍状皮瓣或延长海鸥状皮瓣治疗这种情况的报道。我们报告了一例使用双叶球拍状皮瓣挽救拇指脱套伤的病例。
