Yajima H, Inada Y, Shono M, Tamai S
Department of Orthopaedic Surgery, Nara Medical University, Kashihara, Japan.
Plast Reconstr Surg. 1996 Aug;98(2):328-33. doi: 10.1097/00006534-199608000-00019.
We treated six patients with soft-tissue defects involving the skin and extensor or flexor tendons using a cutaneotendinous radial forearm flap. There were five male patients and one female patient. Their ages at operation ranged from 22 to 65 years (mean 50 years). In one patient, the flexor pollicis longus tendon was reconstructed with a palmaris longus tendon graft. Four patients each had two extensor tendons reconstructed. This was performed either with the palmaris longus tendon folded in the center (n = 2) or with the palmaris longus and flexor carpi radialis tendons (n = 2). In the remaining patient, three extensor tendons were reconstructed with the palmaris longus and flexor carpi radialis tendons. All the flaps survived. Recovery of motor function has been satisfactory in all but one patient.
我们使用桡动脉前臂皮肌腱瓣治疗了6例涉及皮肤及伸肌腱或屈肌腱的软组织缺损患者。其中男性患者5例，女性患者1例。他们手术时的年龄在22岁至65岁之间（平均50岁）。1例患者用掌长肌腱移植重建了拇长屈肌腱。4例患者各有2条伸肌腱进行了重建，其中2例采用将掌长肌腱在中间折叠的方法，另外2例采用掌长肌腱和桡侧腕屈肌腱进行重建。在其余1例患者中，用掌长肌腱和桡侧腕屈肌腱重建了3条伸肌腱。所有皮瓣均存活。除1例患者外，其余患者的运动功能恢复情况均令人满意。
