Foucher G, Braun J B
Plast Reconstr Surg. 1979 Mar;63(3):344-9. doi: 10.1097/00006534-197903000-00008.
We describe here a new island flap from the dorsum of the index finger, transferred on the first dorsal metacarpal artery with one or two veins and the terminal branches of the radial nerve. This vascular bundle is a reliable one, for we have had no necrosis in 12 consecutive cases. The quality of its venous outflow and the use of a dorsal donor site give it advantages over the Moberg-Littler island flap, unless a dorsal vein from the latter flap is preserved and sutured to a vein in the recipient site. The arterial vascularization without any skin pedicle makes this "kite" flap a more practical one than the "flag" flaps of Vilain or Holevitch or Kuhn. Finally, a one-stage transfer is usually preferable to a two-stage one (e.g. Adamson, Braillar). In a single operation, this transfer provides composite resurfacing of the thumb while bringing in new blood and nerve supply.
我们在此描述一种来自示指背侧的新岛状皮瓣，它通过第一掌背动脉以及一两条静脉和桡神经终末支进行转移。该血管束可靠，因为我们连续12例均未出现坏死情况。其静脉回流质量以及供区位于背侧，使其相较于莫伯格 - 利特勒岛状皮瓣具有优势，除非保留后者皮瓣的一条背侧静脉并将其缝合至受区静脉。没有任何皮肤蒂的动脉血管化使得这种“风筝”皮瓣比维兰、霍莱维奇或库恩的“旗”状皮瓣更实用。最后，一期转移通常比二期转移（如亚当森、布拉亚尔法）更可取。在单次手术中，这种转移在为拇指提供复合性创面修复的同时，还能带来新的血液和神经供应。
