Engelbrecht J J, Bruce-Chwatt A J
Department of Plastic and Reconstructive Surgery, Tygerberg Hospital, W. Cape.
S Afr J Surg. 1996 Nov;34(4):194-6.
The management of soft-tissue defects of the hand with exposed bone and tendons may be difficult. The posterior interosseous flap is a fasciocutaneous island from the dorsal forearm, based on the posterior interosseous vessels. We have used this flap as a one-stage procedure to cover soft-tissue defects of the hand in 6 patients. It provides excellent cover without sacrificing a major blood vessel such as the radial artery. Although the vascular anatomy of the flap is normally consistent, variations exist. This prevented elevation of 1 of the flaps in our series.
手部伴有暴露骨骼和肌腱的软组织缺损的处理可能具有挑战性。骨间后皮瓣是一种基于骨间后血管的来自前臂背侧的岛状筋膜皮瓣。我们已将此皮瓣作为一期手术用于6例手部软组织缺损的覆盖。它无需牺牲桡动脉等主要血管就能提供良好的覆盖。尽管该皮瓣的血管解剖结构通常是一致的，但也存在变异情况。这导致我们系列病例中有1例皮瓣无法掀起。
