Abstract：
The profunda artery perforator (PAP) flap provides a good option for hand and upper extremity reconstruction. The reliable quality, caliber, and number of perforators in the posteromedial thigh support large flaps with long pedicles. The PAP flap has been widely used for breast reconstruction, although its use in the extremities has been slower to catch on due to the bulk and thickness of the subcutaneous tissue. The authors discuss evolution of thin flaps and our application of the thin and superthin PAP flap for upper extremity reconstruction.
摘要：
深动脉穿支（PAP）皮瓣为手部和上肢重建提供了良好的选择。质量可靠，口径,大腿后内侧的穿孔器数量支持带长蒂的大皮瓣。PAP皮瓣已广泛应用于乳房再造,尽管由于皮下组织的体积和厚度，其在四肢的使用速度较慢。作者讨论了薄皮瓣的演变以及我们对薄超薄PAP皮瓣在上肢重建中的应用。
