Dickinson J C, Roberts A H
J Hand Surg Br. 1986 Oct;11(3):394-8. doi: 10.1016/0266-7681(86)90165-8.
Experience is reported in the use of eight fascio-cutaneous cross-arm and forearm flaps in three patients. This has proved to be a reliable and satisfactory means of providing skin cover in reconstruction of the hand, giving flaps of a length to breadth ratio of at least two to one. The method was particularly useful where multiple defects were encountered, although in one case where a single defect required reconstruction, the ability to tube the pedicle of the flap allowed full mobility of the injured hand. Primary wound healing was achieved in all cases, and the patients have progressed to a satisfactory functional result. The advantages and disadvantages of this flap are discussed and compared with other established methods of reconstruction.
本文报告了3例患者使用8个筋膜皮瓣交叉臂和前臂皮瓣的经验。事实证明，这是一种可靠且令人满意的手部重建皮肤覆盖方法，所提供皮瓣的长宽比至少为2:1。该方法在遇到多处缺损时特别有用，尽管在1例需要重建单个缺损的病例中，将皮瓣蒂部管状化的能力使受伤手部能够充分活动。所有病例均实现一期伤口愈合，患者功能恢复良好。本文讨论了该皮瓣的优缺点，并与其他已确立的重建方法进行了比较。
