Martini A K
Handchir Mikrochir Plast Chir. 1983 Mar;15(1):43-6.
Above-elbow amputations for severe injury or fourth degree burns may leave an unsatisfactory stump. Fitting of a prosthesis is always difficult. Similar difficulties may arise with congenital transverse absence, while all childhood amputations have the potential problem of bony overgrowth threatening to penetrate skin. Because the stump is already too short, re-amputation is not an acceptable solution. We recommend improvement of such stumps by the transfer of a latissimus dorsi musculocutaneous flap. The principles and details are discussed.
因重伤或四度烧伤进行的上臂截肢可能会留下不理想的残端。假肢适配往往很困难。先天性横断缺失也可能出现类似问题，而所有儿童截肢都存在骨过度生长可能穿透皮肤的潜在问题。由于残端已经过短，再次截肢并非可行的解决方案。我们建议通过背阔肌肌皮瓣转移来改善此类残端。文中讨论了相关原则和细节。
