Bunyan A R, Mathur B S
Department of Burns & Plastic Surgery at Riyadh Medical Complex, Saudi Arabia.
Burns. 2000 Sep;26(6):575-80. doi: 10.1016/s0305-4179(00)00014-0.
The fundamental principle of reconstruction is to replace the lost tissue with similar tissue. Because of the unique similarities in characteristics, plantar skin is an excellent donor area for skin grafting for the palmar aspect of the digits and hand. It provides an ideal color and texture match and long durability with an inconspicuous donor site. However, the use of plantar skin in management of digital and palmar defects is only rarely reported in the literature. Doubts were raised on donor site healing and incidence of recurrence of contracture. There are reports of using full thickness skin graft and dermal grafting from planta in similar cases. We have used medium thickness split grafts from sole of foot in correcting 262 cases of flexion contracture of digits and palms. Thick split skin grafts, full thickness grafts, local flaps and Z plasties were used in numbers of other cases. The technique of plantar skin grafts, application and results with reference to take of graft, quality of skin, donor area healing and recurrence are discussed and compared with available methods and studies.
重建的基本原则是用相似组织替代缺失组织。由于足底皮肤在特性上具有独特的相似性，它是用于手指和手掌掌面皮肤移植的极佳供区。它能提供理想的颜色和质地匹配，且耐久性强，供区不明显。然而，文献中很少报道使用足底皮肤治疗手指和手掌缺损。人们对供区愈合情况和挛缩复发率存在疑虑。有报道称在类似病例中使用了全厚皮片和来自足底的真皮移植。我们使用足底中厚断层皮片矫正了262例手指和手掌屈曲挛缩病例。在其他许多病例中使用了厚断层皮片、全厚皮片、局部皮瓣和Z成形术。本文讨论了足底皮肤移植技术、应用情况以及与移植成活、皮肤质量、供区愈合和复发相关的结果，并与现有方法和研究进行了比较。
