Reyes F A, Burkhalter W E
University of Miami School of Medicine, Department of Orthopaedics and Rehabilitation, FL 33101.
J Hand Surg Am. 1988 May;13(3):432-7. doi: 10.1016/s0363-5023(88)80025-x.
Six patients with full-thickness skin loss complicating traumatic problems of the hand each had a retrograde forearm fascia flap transfer. Fascial pedicle flaps were used, because more conventional means of coverage had failed or were deemed inappropriate. Four patients had an uncomplicated one-stage flap transfer. Two patients had postoperative hematoma, but no further procedures were required. One patient had superficial necrosis of more than one fourth of the flap. Hematoma and necrosis were considered to be a result of a reversed flow occurring in the radial artery and its vena comitant and to the increased vascular pressure of the flap. This technique provides soft tissue reconstruction of the hand in one stage, with the advantage of early rehabilitation.
6例因手部创伤问题导致全层皮肤缺损的患者均接受了逆行前臂筋膜瓣转移术。采用筋膜蒂皮瓣是因为更传统的覆盖方法已失败或被认为不合适。4例患者进行了一期无并发症的皮瓣转移。2例患者术后出现血肿，但无需进一步处理。1例患者皮瓣超过四分之一出现浅表坏死。血肿和坏死被认为是桡动脉及其伴行静脉出现逆流以及皮瓣血管压力增加所致。该技术可一期完成手部软组织重建，具有早期康复的优势。
