DORSAL METACARPAL REVERSE FLAPS - ANATOMICAL BASIS AND CLINICAL-APPLICATION

被引：37

作者：

DAUTEL, G

MERLE, M

机构：

[1] Service “Assistance Mains”, Hopital Jeanne D'Arc, Nancy

来源：

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME | 1991年 / 16B卷 / 04期

关键词：

D O I：

10.1016/0266-7681(91)90012-D

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The presence of distal intermetacarpal anastomoses between dorsal and palmar vascular networks makes it possible to raise distally-based cutaneous island flaps oriented along the axis of the dorsal metacarpal arteries. These flaps receive a reverse-flow vascularisation. Distal intermetacarpal anastomoses were found consistently in 35 hands from adult cadavers. The exact location of these anastomoses varied with the course of the dorsal metacarpal artery. Thus, island flaps can be raised consistently from the dorsal aspect of the hand and rotated around a distal intermetacarpal pivot. These flaps are suitable for covering the dorsal aspect of the proximal phalanx and the proximal interphalangeal joint.

引用

页码：400 / 405

页数：6

共 11 条

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