Soutar D S, Tanner N S
Br J Plast Surg. 1984 Jan;37(1):18-26. doi: 10.1016/0007-1226(84)90035-3.
Soft tissue injuries of the hand frequently require flap cover either to preserve structures damaged at the time of injury or to facilitate later reconstruction. Techniques such as the groin flap, the abdominal flap and the cross arm flap require staged procedures and until now, surgeons have had to resort to the more complicated microsurgical techniques required in free flap transfer to obtain soft tissue cover in a single-stage. The radial forearm flap makes local tissue readily available and offers a simple and effective one-stage method of soft tissue reconstruction. Surgery is confined to a single limb permitting early mobilisation and rehabilitation. The vascular anatomy of the radial forearm flap will be described and three cases presented to illustrate this technique in the management of differing soft tissue injuries of the hand.
手部软组织损伤常常需要皮瓣覆盖，以保护受伤时受损的结构或便于后期重建。诸如腹股沟皮瓣、腹部皮瓣和交叉臂皮瓣等技术需要分阶段进行手术，直到现在，外科医生不得不采用游离皮瓣移植中所需的更复杂的显微外科技术，以单阶段获得软组织覆盖。桡侧前臂皮瓣使局部组织易于获取，并提供了一种简单有效的单阶段软组织重建方法。手术局限于单个肢体，有利于早期活动和康复。本文将描述桡侧前臂皮瓣的血管解剖，并介绍三例病例，以说明该技术在处理手部不同软组织损伤中的应用。
