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首页> 外文期刊>Journal of Hand Surgery. American Volume >Rotational Pedicle Myocutaneous Forearm Fillet Flap Used to Fill Forequarter Amputation Defect: Indications and Uses
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Rotational Pedicle Myocutaneous Forearm Fillet Flap Used to Fill Forequarter Amputation Defect: Indications and Uses

机译：旋转椎弓根肌外切针镶嵌碎片襟翼，用于填补前进的截肢缺陷：适应症和用途

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摘要

A full-thickness fourth-degree burn to a large area of the upper extremity may require a forequarter amputation. Whereas our case describes a burn injury, forequarter amputations may more commonly be done in oncological surgery. In addition to the challenge of providing well-vascularized tissue coverage, the burn patient may also pose the complication of respiratory compromise in a systemically ill person. Fillet flaps have often been utilized as "spare part" reconstruction. Although previous forequarter amputations have been covered with free myocutanous forearm fillet flaps, we devised a rotational pedicle myocutaneous forearm fillet flap that might be less complex than a microvascular reconstruction. This article describes the technique and advantages of the pedicle fillet flap of the upper limb. This technique eliminates the risks of delayed warm ischemia time and avoids additional morbidity of donor sites. Although we sought to find a simpler, more rapid procedure for a burn patient, the pedicle forearm fillet flap has applications for both burn and oncological forequarter amputation defects. It provides a good combination of large tissue coverage with maximum perfusion of muscle bulk. The pedicle flap also enabled us to keep the distal part vascularized and to "bank" it for later use when the recipient area was well vascularized and free of infection. Copyright (C) 2018 by the American Society for Surgery of the Hand. All rights reserved.
机译：全厚的第四度燃烧到上肢的大面积可能需要足够的截肢。虽然我们的案例描述了烧伤损伤，但可能更常见于肿瘤手术中可能更常见的截肢。除了提供血管化的组织覆盖的挑战外，烧伤患者还可以在系统性上生病的人中构成呼吸折衷的并发症。圆角襟翼通常被用作“备件”重建。虽然以前的前方截肢已经覆盖了自由的Mycocutanous Forearm圆角襟翼，但我们设计了一种旋转椎弓根肌外前臂镶嵌片，其可能比微血管重建更复杂。本文介绍了上肢椎弓根瓣片的技术和优点。该技术消除了延迟温暖缺血时间的风险，并避免了捐助部位的额外发病率。虽然我们试图找到一种更简单，更快速的燃烧患者手术，但椎弓根前臂薄片皮瓣具有烧伤和肿瘤截肢截肢缺陷的应用。它提供了大型组织覆盖率的良好组合，最大灌注肌肉散装。椎弓根皮瓣还使我们能够保持远端部位血管化和“银行”，当受体区域血管化并且没有感染时，以后使用。 2018年版权所有（C）手术手术协会。版权所有。

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