Mackinnon S E, Dellon A L, Patterson G A, Gruss J S
Ann Plast Surg. 1985 Jun;14(6):541-4. doi: 10.1097/00000637-198506000-00007.
Although rotation of musculocutaneous flaps can achieve closure of pressure sores, these insensitive flaps in the paraplegic or quadriplegic contribute to recurrent ulceration. This report suggests a method of reinnervating the territory of the lateral femoral cutaneous nerve (the tensor fascia lata musculocutaneous flap) using the medial antebrachial cutaneous nerve of the forearm. This neurotization procedure has restored sensibility to the area of the healed pressure sore.
尽管肌皮瓣的旋转可以实现压疮的闭合,但这些对截瘫或四肢瘫患者不敏感的皮瓣会导致溃疡复发。本报告提出了一种利用前臂内侧皮神经对股外侧皮神经支配区域(阔筋膜张肌肌皮瓣)进行再神经支配的方法。这种神经移植手术已恢复了愈合压疮区域的感觉。