Doi K, Ihara K, Sakamoto T, Kawai S
J Hand Surg Am. 1985 Sep;10(5):678-84. doi: 10.1016/s0363-5023(85)80207-0.
Functional latissimus dorsi island pedicle musculocutaneous flaps were used to restore flexion or extension of the wrist and digits in four clinical cases. By retaining the fascial origin of the latissimus dorsi from the posterior crest of the ilium, the entire muscle was transferred without dividing its neurovascular pedicle and microneurovascular anastomoses. Its facial origin successfully reached the finger flexor or extensor muscles of the forearm. The latissimus dorsi muscle was sutured to the digital flexor tendons in three patients and connected to the extensor tendons in one patient. All transfers restored active finger flexion or extension.
在4例临床病例中，使用功能性背阔肌岛状蒂肌皮瓣来恢复腕关节和手指的屈曲或伸展功能。通过保留背阔肌起自髂后嵴的筋膜，整块肌肉得以转移，而无需切断其神经血管蒂并进行显微神经血管吻合。其筋膜起始部成功抵达前臂的手指屈肌或伸肌。3例患者将背阔肌缝合至指屈肌腱，1例患者将其连接至伸肌腱。所有移植均恢复了手指的主动屈曲或伸展功能。
