Luce E A, Gottlieb S F
J Hand Surg Am. 1982 Mar;7(2):156-60. doi: 10.1016/s0363-5023(82)80080-4.
From July 1, 1978, to July 1, 1980, 26 patients required pedicle flap coverage for acute skin loss defects in the hand and upper extremity. Eighteen patients had groin or abdominal flap coverage, and the pectoralis major island flap (PMIF) was used in eight patients. The circumstances of injury were approximately the same in both groups, consisting of a gunshot wound or electrical injury in over half of the cases. The PMIF was selected more often in proximal and dorsal injuries of the forearm and wrist and in older patients. Two of 13 groin flaps sustained partial necrosis, but none of the abdominal or PMIF flaps necrosed. The principle advantages of the PMIF in these selected cases was fourfold: (1) an extremity placed in a less dependent, sling-like position, (2) mobility, (3) reliability, and (4) a complete inset into the defect. The chest wall donor site defect, however, must be given some consideration.
1978年7月1日至1980年7月1日期间，26例手部及上肢急性皮肤缺损患者需要采用带蒂皮瓣覆盖创面。18例采用腹股沟或腹部皮瓣覆盖，8例采用胸大肌岛状皮瓣（PMIF）。两组患者的受伤情况大致相同，超过半数病例为枪伤或电击伤。前臂和腕部近端及背侧损伤患者以及老年患者更常选用PMIF。13例腹股沟皮瓣中有2例发生部分坏死，但腹部皮瓣或PMIF皮瓣均未坏死。在这些特定病例中，PMIF的主要优点有四点：（1）肢体可置于较舒适的悬吊样位置；（2）具有可移动性；（3）可靠性高；（4）可完全嵌入缺损处。不过，必须对胸壁供区缺损予以一定考虑。
