Hamilton S G, Morrison W A
Br J Plast Surg. 1982 Jan;35(1):2-7. doi: 10.1016/0007-1226(82)90075-3.
A purely cutaneous free flap overlying the infraspinous region of the scapula has been used successfully in three cases. It is of intermediate thickness, predominantly hairless and is based on the cutaneous branch of the circumflex scapular artery. Te dissection of the flap is easy, quick and safe, resulting in a minimal pedicle length of 3 cm but this can be lengthened significantly by the inclusion of the more proximal vessels. The vessel diameter and its distribution make revascularization predictable. In this vessels. The vessel diameter and its distribution make revascularization predictable. In this series, the longest flap used was 24 cm and the widest was 12 cm, the width being limited by the ability to achieve primary closure. The only donor site disability is related to a tight linear transverse scar. These is no functional limitation nor distortion of the axillary contours. This contrasts with the thicker and widely used latissimus dorsi free flap. The scapular flap should replace the latissimus dorsi flap where the size of the defect to be covered is within the critical dimensions of this flap. The scapular flap can be combined with the latissimus dorsi flap for larger areas of skin cover, or the two flaps can be separated still based on their common vascular pedicle to cover two areas with diverging axes.
一种覆盖肩胛骨冈下区域的纯皮游离皮瓣已在3例手术中成功应用。它厚度适中，主要无毛，以旋肩胛动脉的皮支为蒂。皮瓣的解剖操作简便、迅速且安全，蒂部最短可达3 cm，但通过包含更靠近近端的血管可显著延长。血管直径及其分布使血管再植具有可预测性。在本系列研究中，使用的最长皮瓣为24 cm，最宽为12 cm，宽度受一期缝合能力的限制。唯一的供区功能障碍与一条紧绷的线性横向瘢痕有关。腋窝轮廓无功能受限或变形。这与较厚且广泛使用的背阔肌游离皮瓣形成对比。当待覆盖缺损的大小在该皮瓣的关键尺寸范围内时，肩胛皮瓣应替代背阔肌皮瓣。肩胛皮瓣可与背阔肌皮瓣联合用于更大面积的皮肤覆盖，或者基于它们共同的血管蒂将两个皮瓣分开，以覆盖两个不同轴向上的区域。
