Seradge H, Adham M N, Seradge E, Hunter D
Hand Center of Oklahoma, Department of Orthopedic Surgery, University of Oklahoma Health Sciences Center, Oklahoma City 73109, USA.
Orthopedics. 1995 Nov;18(11):1083-5. doi: 10.3928/0147-7447-19951101-08.
Free vascularized temporo-parietal fascia (TPF) flap is a flap of thin, pliable and vascularized tissue which can cover an area measuring up to 12 cm x 14 cm. The flap is harvested based on temporal vessels, which provide a smooth, gliding surface for tendon function and eliminates the need for secondary procedures usually required by the pedicled or bulky free vascularized myocutaneous flaps. The donor pedicle is long and consistent with an average diameter of 3 mm in adults. This flap is versatile. In 12 resurfacings for traumatic wounds of hand and wrist, no flaps were lost. Donor site morbidity, except for a transient sideburn hair loss in one case, was not encountered. We recommend this flap as a viable one-stage procedure for coverage of complex hand wounds.
游离带血管颞顶筋膜（TPF）瓣是一种薄而柔韧的带血管组织瓣，可覆盖面积达12厘米×14厘米的区域。该皮瓣基于颞血管进行切取，为肌腱功能提供了光滑的滑动表面，无需带蒂或大块游离带血管肌皮瓣通常所需的二次手术。供体蒂较长，成人平均直径为3毫米。该皮瓣用途广泛。在12例手部和腕部创伤创面修复中，无皮瓣丢失。除1例出现短暂的鬓角脱发外，未出现供区并发症。我们推荐将该皮瓣作为覆盖复杂手部创面的一种可行的一期手术方法。
