Zancolli E A, Angrigiani C
Rehabilitation Center, Buenos Aires, Argentina.
J Hand Surg Br. 1988 May;13(2):130-5. doi: 10.1016/0266-7681_88_90121-0.
The skin of the dorsal aspect of the forearm is supplied by several cutaneous branches of the posterior interosseous artery. This vascular anatomy permits the surgeon to obtain an island flap of the dorsal forearm based on the distal anastomosis between the two interosseous arteries at the distal part of the interosseous space. This flap can reliably be transferred to different skin defects of the hand such as those created by correction of an adduction contracture of the first web space, or on the back or front of the wrist level. Its principal advantages are that it is a thin flap with excellent circulation and that it is possible to close the donor area primarily provided the island flap is not wider than 3 to 4 cm. The procedure has been employed in 25 patients with satisfactory results.
前臂背侧的皮肤由骨间后动脉的几条皮支供血。这种血管解剖结构使外科医生能够在前臂背侧基于骨间间隙远端两条骨间动脉之间的远端吻合获取岛状皮瓣。该皮瓣能够可靠地转移至手部不同的皮肤缺损部位，比如因矫正第一掌骨间隙内收挛缩而造成的缺损部位，或者腕部水平的背部或前面。其主要优点在于它是一个血运极佳的薄皮瓣，并且只要岛状皮瓣宽度不超过3至4厘米，就能够一期闭合供区。该手术已应用于25例患者，效果满意。
