Lai C S, Lin S D, Tsai C C, Tsai C W
Division of Plastic and Reconstructive Surgery, Chung-Ho Memorial Hospital, Kaohsiung Medical College, Taiwan.
J Hand Surg Am. 1995 May;20(3):397-402. doi: 10.1016/S0363-5023(05)80094-2.
Soft tissue loss with digital nerve defect in the finger was reconstructed with the reverse digital artery neurovascular cross-finger flap in two cases with favorable results. The flap harvested from the lateral side of the proximal phalanx of the neighboring healthy finger is nourished by a distally based digital artery. The flap contained a segment of digital nerve dorsal branch, which is used to bridge the nerve gap in the wound while the flap is used to reconstruct the soft tissue defect concomitantly. The reverse digital artery neurovascular cross-finger flap seems to be a useful addition to the options for complicated finger damage involving soft tissue loss and nerve defect.
应用逆行指动脉神经血管交叉指皮瓣修复2例手指软组织缺损合并指神经缺损，效果良好。该皮瓣取自相邻健康手指近节指骨侧面，由远端蒂指动脉供血。皮瓣包含一段指神经背支，用于桥接创面神经缺损，同时皮瓣用于修复软组织缺损。逆行指动脉神经血管交叉指皮瓣似乎是修复伴有软组织缺损和神经缺损的复杂手指损伤的一种有效方法。
