Yii N W, Elliot D
St. Andrew's Center for Plastic Surgery, Chelmsford, Essex, United Kingdom.
Plast Reconstr Surg. 1999 Apr;103(4):1205-11. doi: 10.1097/00006534-199904040-00016.
Dorsal skin defects in which the loss of integument is longitudinal in shape are not uncommon after injury by rotating machinery and by glass shearing along the length of the digit. This shape of defect is difficult to reconstruct with commonly used flaps but lends itself to reconstruction by the use of longitudinal bipedicle strap flaps moved across the dorsum of the finger from lateral to medial. A variant of this traditional technique was used in the reconstruction of 28 dorsal digital defects. The incidence of these defects and the need for this reconstructive technique were analyzed by a review of 1077 patients with dorsal digital injuries treated in a 6-year period between 1989 and 1995. Approximately 20 percent of all dorsal digital injuries requiring flap reconstruction were suitable for reconstruction with bipedicle strap flaps.
在手指遭受旋转机械损伤以及沿手指长度方向的玻璃切割伤后，出现纵向皮肤缺损的背侧皮肤损伤并不少见。这种缺损形状难以用常用皮瓣进行修复，但适合采用从手指外侧向内侧跨越手指背侧移动的纵向双蒂带状皮瓣进行修复。在28例手指背侧缺损修复中采用了这种传统技术的一种变体。通过回顾1989年至1995年这6年间接受治疗的1077例手指背侧损伤患者，分析了这些缺损的发生率以及这种修复技术的必要性。所有需要皮瓣修复的手指背侧损伤中，约20%适合用双蒂带状皮瓣进行修复。
