Foucher G, Van Genechten F, Merle M, Michon J
J Hand Surg Br. 1984 Oct;9(3):245-8. doi: 10.1016/0266-7681(84)90033-0.
Single stage thumb reconstruction is possible with a new composite skin bone flap from the forearm. The primary vascularisation of skin and bone avoids the disadvantages of the conventional multi-staged procedures such as neurovascular insufficiency, infection and bone absorption. It does not require a surgical team with microsurgical expertise. The best indication is the reconstruction in the subtotal thumb amputation.
采用一种来自前臂的新型复合皮瓣进行一期拇指重建是可行的。皮肤和骨骼的主要血管化避免了传统多阶段手术的缺点，如神经血管功能不全、感染和骨吸收。它不需要具备显微外科专业知识的手术团队。最佳适应症是拇指近全离断的重建。
