Chang L Y, Yang J Y, Wei F C
Linkou Burn Center, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, Republic of China.
Ann Plast Surg. 1994 Sep;33(3):281-9. doi: 10.1097/00000637-199409000-00008.
Skin defects in some areas of the digits are difficult to reconstruct, such as the ulnar aspect of the little or ring finger, radial aspect of the index, dorsal or volar aspect of fingers with proximal interphalangeal or metacarpophalangeal joint involvement, and proximal phalanx of the thumb. Moderate or severe contracture of the web space and multiple finger injuries without an available cross-finger flap are also a challenge to reconstructive surgeons. The reverse dorsometacarpal flap presents an option for reconstruction because of these difficulties. It is reliable and versatile in design. The donor site can be closed primarily provided the flap is less than 2 cm wide.
手指某些部位的皮肤缺损难以修复，如小指或环指的尺侧、示指的桡侧、近端指间关节或掌指关节受累的手指背侧或掌侧，以及拇指近节指骨。蹼间隙中度或重度挛缩以及无可用邻指皮瓣的多指损伤对重建外科医生来说也是一项挑战。由于这些困难，逆行掌背皮瓣为修复提供了一种选择。它设计可靠且用途广泛。如果皮瓣宽度小于2厘米，供区可直接缝合。
