桡神经第二掌背支携筋膜蒂逆行岛状皮瓣修复指背骨外露

目的 探讨桡神经第二掌背支携筋膜蒂逆行岛状皮瓣修复指背骨外露的临床效果.方法 以桡神经第二掌背支携筋膜蒂逆行岛状皮瓣修复食指和中指中节指背骨外露患者共3例,观察皮瓣的成活率、质地、色泽.结果 随访3～24个月,平均18个月.3例皮瓣全部顺利成活,指端创面均获得覆盖;供区创面顺利愈合;皮瓣质地、弹性均正常,皮色与受区一致,无溃疡发生.结论 桡神经第二掌背支携筋膜蒂逆行岛状皮瓣修复指背骨外露具有操作相对简单、安全,皮瓣质地、色泽与受区一致等优点.Abstract：Objective To explore the clinical effect of reparing the bone exposure of finger back with a reverse island flap of the second metacarpal dorsal nerve of superficial radial nerve together with fascial pedicle.Methods Three cases with the bone exposure of finger back were repaired with a reverse island flap of the second metacarpal dorsal nerve of superficial radial nerve together with fascial pedicle.Then the survival rate, texture, and colour of the flaps were observed.Results All cases were followed up from 3 to 24 months (with the mean of 18 months).The flaps totally survivied in 3 cases, the bone exposure were repaired excellently.The raw surface of donor site were repaired.The flaps possessed good texture and flexibility.The flaps possess good quality and their colour match the recipient site.Conclusions The reverse island flap of the second metacarpal dorsal nerve of superficial radial nerve together with fascial pedicle is alternative to repair the bone exposure of finger back.The operation is easy and safe.

Repair of the bone exposure of finger back with a reverse island flap of the second metacarpal dorsal nerve of superficial radial nervetogether with fascial pedicle

Neurocutaneous Retrograde Flap Bone exposure