Lee Dong Chul, Kim Jin Soo, Roh Si Young, Lee Kyung Jin, Kim Yong Woo
Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital, 36, Digital-road, Gwangmyeong, Gyeonggi-do 14241, South Korea.
Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital, 36, Digital-road, Gwangmyeong, Gyeonggi-do 14241, South Korea.
Hand Clin. 2019 May;35(2):185-197. doi: 10.1016/j.hcl.2019.01.001. Epub 2019 Feb 18.
A dysvascular digit is defined as a threatened circulatory condition of a digit caused owing to multiple reasons, such as medical illness or trauma. A dysvascular digit always needs surgical manipulation of the vessel in trauma cases. The revascularization of the digit is a priority in such conditions, after which reconstruction of the defect is performed. In this article, the authors present and discuss the venous free flap, thenar free flap, toe plantar free flap, free style perforator flap, hypothenar free flap, and anconeus muscle free flap.
血管性危象指(手指)因多种原因(如内科疾病或外伤)导致的手指血液循环受威胁的状况。在创伤病例中,血管性危象的手指总是需要对血管进行手术操作。在这种情况下,手指的血管重建是首要任务,之后再进行缺损修复。在本文中,作者介绍并讨论了静脉游离皮瓣、大鱼际游离皮瓣、趾底游离皮瓣、随意型穿支皮瓣、小鱼际游离皮瓣和肘肌游离皮瓣。