应用前臂骨间后动脉皮瓣修复手部软组织缺损

Application of the posterior interosseous artery flap in the cases with soft tissue defects of the hand

目的观察前臂骨间后动脉皮瓣I期修复手部软组织缺损的疗效。方法 2005年3月至2008年11月采用该皮瓣对45例手部皮肤缺损和肌腱骨外露创面进行修复,皮瓣面积6cm×7cm～10cm×7cm。结果本组皮瓣全部成活,随访8～14个月,平均11.6个月。手部功能及皮瓣外观满意。结论前臂骨间后动脉皮瓣质地良好,安全、简便、不吻合血管,成活率高,是修复手部软组织缺损较为理想的方法 。

Objective To observe the effect of the posterior interosseous artery flap for repairing soft tissue defects of the hand,The flap ranged from 6×7 cm to 7×10 cm.Methods 45 clinical cases with soft tissue defects of the hand were repaired with the reversed posterior interosseous artery flap from March 1980 to November 2008.Results All of flaps survived,and all cases were followed up from 8 to 14 months,11.6 months in average.All patients had achieved the satisfactory appearance and hand function.Conclusion The flap have the advantages of good texture,safty,easy operation,nonanastomotic vessels and high survival rate.It is a better choice for repairing the soft tissue defects of the hand.