Gutierrez de la Cámara A, Sanz J R, Moledo E, Gómez B, Iglesias L
Department of Plastic and Reconstructive Surgery, Centro Médico Povisa, Pontevedra, Spain.
Ann Chir Main Memb Super. 1997;16(2):111-7. doi: 10.1016/s0753-9053(97)80028-2.
The retrograde flow Chinese flap has been shown to be a useful cover for extensive losses of palm tissue. We report a case in which vascularization was based on the palmar radiocarpal arch, with angiographic verification, in view of the post-injury absence of palmar arches. Considering the results obtained, the technical modifications introduced with respect to earlier studies are described (flap pivoting 2 cm from the Lister tubercle), and the palmar anastomotic network of the carpal bones is proposed as a new end effective vascular axis in the preparation of retrograde flow antebrachial axial flaps with an intact volar radiocarpal region.
逆行血流中国皮瓣已被证明是修复手掌组织大面积缺损的有效覆盖物。我们报告了一例血管化基于掌侧桡腕弓的病例，并进行了血管造影验证，鉴于损伤后掌弓缺失。考虑到所获得的结果，描述了相对于早期研究引入的技术改进（皮瓣在距Lister结节2 cm处旋转），并提出腕骨的掌侧吻合网络作为在掌侧桡腕区域完整的情况下制备逆行前臂轴型皮瓣的一种新的终末有效血管轴。
