Reinisch J F, Winters R, Puckett C L
J Hand Surg Am. 1984 Jan;9A(1):12-7. doi: 10.1016/s0363-5023(84)80177-x.
Since 1972, the groin flap has been used as an excellent source of skin coverage for the hand. This flap can incorporate the underlying iliac crest to provide both soft tissue and vascularized bone for the reconstruction of complex hand injuries. Three patients who sustained gunshot wounds of the hand with loss of the thumb metacarpal and extensive soft tissue were treated with a groin flap that included the iliac crest. Bony union was rapid and thumb stability was excellent in all patients 3 months after initial reconstruction. The advantages of the osteocutaneous flap include the ability to: (1) supply vascularized bone to what is frequently a poor recipient bed for a bone graft, (2) reconstruct both soft tissue and bony defects simultaneously, and (3) be used in facilities without capability for microvascular surgery.
自1972年以来，腹股沟皮瓣一直被用作手部皮肤覆盖的优质来源。该皮瓣可包含下方的髂嵴，为复杂手部损伤的重建提供软组织和带血管的骨组织。3例手部遭受枪伤，拇指掌骨缺失且伴有广泛软组织损伤的患者接受了包含髂嵴的腹股沟皮瓣治疗。初次重建后3个月，所有患者的骨愈合迅速，拇指稳定性良好。骨皮瓣的优点包括能够：(1) 为通常不利于骨移植的受区提供带血管的骨组织；(2) 同时重建软组织和骨缺损；(3) 可在没有微血管外科手术能力的机构使用。
