Robotti E, Bocchiotti G D, Verna G, Bocchiotti G
Istituto di Chirurgia Plastica e Ricostruttiva, Università degli Studi di Torino.
Minerva Chir. 1992 Sep 15;47(17):1417-20.
Skin grafting remains the simplest option when bone is not exposed in soft tissue losses of the digits of the hand. As opposed to traditional donor sites, a split-thickness skin graft from the hypothenar eminence provides specialized skin similar to the one to be replaced. The graft remains elastic and soft in follow-up, without hyperpigmentation, hyperkeratosis, fissuring and hypertrophic scarring at the margins. As well as in acute trauma situations, the use of split-thickness skin grafting from the hypothenar eminence can also be extended to resurfacing defects in elective hand surgery. As an example, we describe a case of an ulcerated capillary hemangioma on the dorsal surface of the fifth digit at the distal interphalangeal joint.
当手部手指软组织缺损未暴露骨质时，植皮仍是最简单的选择。与传统供区不同，小鱼际隆起处的中厚皮片可提供与待替换皮肤相似的特殊皮肤。随访中，移植皮片保持弹性和柔软，边缘无色素沉着、角化过度、皲裂和肥厚性瘢痕形成。除了急性创伤情况外，小鱼际隆起处中厚皮片的应用还可扩展到择期手部手术的创面修复。例如，我们描述了一例发生于小指远端指间关节背侧的溃疡性毛细血管瘤病例。
