Foucher G, Debry R, Van Genechten F, Merle M
Ann Chir Main. 1985;4(3):239-41. doi: 10.1016/s0753-9053(85)80007-7.
The classical rotation flap described by J. Hueston involves the advancement of a denervated skin area on the distal stump. In distal amputations of the thumb, this flap should only be used on the lateral side in order to avoid creating a blind medial pulp. Furthermore, this leaves a proximal skin defect thereby exposing the neurovascular bundles. This secondary defect is best covered by a lateral triangular rotation flap.
J. 休斯顿描述的经典旋转皮瓣涉及远端残端失神经支配皮肤区域的推进。在拇指远端截肢手术中，为避免形成盲端内侧指腹，此皮瓣应仅用于外侧。此外，这会留下近端皮肤缺损，从而暴露神经血管束。这个继发性缺损最好用外侧三角形旋转皮瓣覆盖。
