Tezcan M, Ozcan M, Kahveci R, Safak E, Akin S
Department of Plastic and Reconstructive Surgery, Uludağ University Medical School.
Plast Reconstr Surg. 1997 Sep;100(4):914-8. doi: 10.1097/00006534-199709001-00013.
Soft-tissue reconstruction of the hand still remains a challenge for plastic and reconstructive surgeons. Several flaps have been described to cover soft-tissue defects of the digits and the hand. In the first web region, there are some communications between the intermediate artery arising from the dorsal branch of the radial artery and the volar arteries of the thumb and the index finger. Depending on these communications, a new distally based flap is raised from the first dorsal intermetacarpal area. This flap has been used to cover various defects of the thumb in four patients and the distal radial side of the palmar area in one patient. Donor sites have been closed primarily except in one patient. There were no complications, and the results show that this flap is useful to cover soft-tissue defects of the thumb and proximal phalanx of the index finger as well as the radial side of the palmar and dorsal surfaces of the hand.
手部软组织重建对于整形和重建外科医生来说仍然是一项挑战。已经描述了几种皮瓣用于覆盖手指和手部的软组织缺损。在第一掌骨间隙区域，桡动脉背侧支发出的中间动脉与拇指和示指的掌侧动脉之间存在一些交通支。基于这些交通支，从第一掌背间隙区域掀起一种新的远端蒂皮瓣。该皮瓣已用于4例患者覆盖拇指的各种缺损，1例患者覆盖手掌区域的桡侧远端。除1例患者外，供区均一期缝合。未出现并发症，结果表明该皮瓣可用于覆盖拇指和示指近节指骨的软组织缺损以及手掌和手背桡侧的软组织缺损。
