Butz P C
Handchir Mikrochir Plast Chir. 1985 Jan;17(1):35-7.
A case with a severe gun shot wound of the palmar ulnar distal forearm and wrist is presented. The initial treatment included reconstruction of the ulnar nerve by means of nerve grafts and soft tissue coverage using a free microvascular groin flap. This represents a procedure which is certainly applied only very exceptionally at our department. Inspite of consequent complete flap necrosis due to arterial thrombosis, sensory recovery was sufficient for protective sensibility. The probable reasons of arterial thrombosis are discussed.
本文介绍了一例手掌尺侧前臂远端和腕部严重枪伤的病例。初始治疗包括通过神经移植重建尺神经，以及使用游离微血管腹股沟皮瓣进行软组织覆盖。这是一种在我们科室肯定只会非常罕见地应用的手术。尽管由于动脉血栓形成导致皮瓣完全坏死，但感觉恢复足以提供保护性感觉。文中讨论了动脉血栓形成的可能原因。
