前臂骨间后动脉逆行岛状皮瓣在多指缺损中的临床应用

Clinical application of antebrachial flap with a pedicle of the posterior interosseous artery to repair defects of several fingers

目的 探讨前臂骨间后动脉逆行岛状皮瓣在多指缺损中的临床应用.方法 临床对38例手部皮肤软组织缺损伴多指缺损行前臂骨间后动脉逆行岛状皮瓣转移修复.其中2指缺损9例,3指缺损12例,4指缺损17例,均伴有皮肤缺损.结果 术后36例皮瓣顺利成活,2例皮瓣部分坏死,进行游离植皮后成活.术后经1年随访,手部功能恢复良好,皮瓣外形良好,供区遗留线性瘢痕.结论 前臂骨间后动脉逆行岛状皮瓣是修复手部软组织缺损合并手指缺损较为理想的手术方法.

Objective To analyze the effect of antebrachial flap with a pedicle of the posterior interosseous artery to repair the finger defects. Methods 38 cases of soft tissue defect and finger defects were treated with the antebrachial flap with a pedicle of the posterior interosseous artery, including 9 cases for 2 finger defects, 12 cases for 3finger defects, 17 cases for 4finger defects, and soft tissue defects for above all cases. Results After the surgery, most of the skin flap were survived （36 cases）, and 2 skin flap were local necrosis, however they have been done the further surgery on free skin graft. More than one year follow-up, the function and appearance of the repaired hands were good , but the left the liner scar on donor area. Conclusion antebrachial flap with a pedicle of the posterior interosseous artery is an ideal surgery to repair soft hand tissue defect and finger defects.