Microvascular Transfer of Posterior Interosseous Flap for Coverage of Soft Tissue Defect in the Hand-Report of Two Cases

應用顯微血管性自由後骨間動脈皮瓣重建手部軟組織缺損－二病例報告

鄭明輝(Ming-Huei Cheng) ； 陳宏基(Hung-Chi Chen) ； 陳煥棠(Samuel H.T. Chen) ； 莊垂慶(David C.C. Chuang) ； 魏福全(Fu-Chan Wei) ； 羅慧夫(M. Samuel Noordhoff)

《中華民國重建整形外科醫學會雜誌》 5卷4期 (1996/12) Pp. 245-253

https://doi.org/10.7096/JPRSA.199612.0009

摘要

後骨間動脈皮瓣可用逆行性島狀皮瓣方式來重建手部軟組織缺損，但是它有幾個缺點：包括靜脈腫脹、部份皮瓣壞死、因與後骨間動脈交通的血管受傷而影響血流及覆蓋的範圍有限。
我們報告二例以顯微血管性自由後骨間動脈皮瓣來重建手部傷口，此自由皮瓣有一條大的表層靜脈引流，其引流方向不像島狀皮瓣是逆流的。
這二個自由皮瓣都完全存活，而且沒有靜脈腫脹及部份皮瓣壞死。所以顯微血管性後骨間動脈皮瓣提供手部軟組織重建一個可靠的選擇。

並列摘要

Usually posterior interosseous flap is used as a pedicled flap for coverage of hand wounds. However, the pedicled posterior interosseous flap has several disadvantages. These disadvantages are partial flap loss with venous congestion, undetected damage to the communicating vessels when there is contusion of the distal forearm, and limited range of coverage.
Two cases are reported using microvascular free posterior interosseous flap for coverage of hand wounds. The two flaps survived completely without venous congestion or partial flap loss. The free flap has a large draining vein to antegrade direction. The free posterior interosseous flap provides a reliable option for coverage of hand wounds.

並列關鍵字

free posterior interosseous flap ； pedicled posterior interosseous flap ； hand wound coverage