Chen D S
Huashan Hospital, Shanghai Medical University.
Zhonghua Wai Ke Za Zhi. 1992 Sep;30(9):515-7, 570.
The follow-up outcome of 40 cases after reconstruction of the first web space of hand was reported. Of them, the hand function was improved in 31 cases, not improved in 6 cases, and worsened in 3 cases. The authors thought that the pedicled ilio-inguinal axial flap for treatment of first web space defect is one of the reconstructive methods for choice in spite of its bulky appearance. Though the operative method of the dorsal local skin flap of hand is simple, it may interfere with the flexion of MP joint of the index finger and the reconstructed first web space is very deep and not plumpy. The author proposed that the extent of the reconstructed first web space should depend upon the patient's occupation, and that the function of internal muscles of the hand and of the flexion and extension muscles of thumb should be taken into consideration because too large a first web space may interfere with the function of opposing finger.
报告了40例手部第一掌骨间隙重建术后的随访结果。其中，手部功能改善者31例，未改善者6例，恶化者3例。作者认为，带蒂髂腹股沟轴型皮瓣尽管外观臃肿，但仍是治疗第一掌骨间隙缺损的可供选择的重建方法之一。手部背侧局部皮瓣手术方法虽简单，但可能影响示指掌指关节的屈曲，且重建的第一掌骨间隙过深、不饱满。作者提出，重建第一掌骨间隙的范围应取决于患者的职业，并且应考虑手部内在肌及拇指屈伸肌的功能，因为第一掌骨间隙过大可能影响对指功能。
