摘要
我院自1989年8月以来,应用经扩张后的皮肤行前臂逆行背侧骨问动脉岛状皮瓣移转修复手部严重烧伤后的瘢痕挛缩畸形7例。这一手术方法克服了供瓣区需行皮片移植覆盖致外形缺陷和皮片与深部肌肉、肌腱粘连的缺点,同时可以增强皮瓣的血供。获得较满意的临床效果。本文详细介绍了手术方法,讨论了该手术的特点和可能产生的并发症。
The island flap based distally on the posterior interosseous artery has been proven to be available for the correction of severe cicatricial contracture deformity of the ipsilateral hand. However,the main disadvantages of this flap are the second donor area deformity and muscle or tendon adhesions after skin grafting.Both these complications may be ameliorated by means of tissue expansion to obtain a secure blood supply to the flap.The surgical procedure has been performed in 7 patients with satisfactory result since August 1989.
