Germann G, Knopp W, Steinau H U
Abteilung für Verbrennungen, Plastische und Handchirurgie, BG-Unfallklinik Ludwigshafen.
Chirurg. 1993 Aug;64(8):657-61.
Two cases of severe contusion/avulsion injuries of the upper extremity with involvement of the neuro-vascular structures and extensive muscle necrosis after post-ischemic syndrome (PIS) are demonstrated. The concept of early post-primary soft tissue coverage and the opportunity of a simultaneous "functional" soft-tissue replacement with pedicled neuro-vascular myocutaneous island flaps is elucidated.
展示了两例上肢严重挫伤/撕脱伤病例，这些损伤累及神经血管结构，并在缺血后综合征（PIS）后出现广泛的肌肉坏死。阐明了早期一期软组织覆盖的概念，以及利用带蒂神经血管肌皮岛状皮瓣同时进行“功能性”软组织替代的机会。
