Niranjan N S, Azad S M, Fleming A N M, Liew S H
St Andrew's Centre for Plastic Surgery and Burns, Mid Essex Hospitals NHS Trust, Broomfield Hospital, Chelmsford, Essex CM1 7ET, UK.
Br J Plast Surg. 2005 Jan;58(1):14-21. doi: 10.1016/j.bjps.2004.05.031.
This paper describes the long term results of a surgical technique used for correction of syndactyly. This technique has been practised by the senior author since 1987 and was published in 1990. The technique involves the use of a dorsal trilobed flap for the reconstruction of the commissure and zig-zag incisions for the fingers. This technique does not require the use of skin grafts. This technique has been used in 62 webs in 44 patients. In this total group, there were 30 patients of primary hand syndactyly with 40 webs. Seventeen patients of primary syndactyly with 25 webs were followed up. The follow-up of these patients ranged from 2 years to 12 years. The long term results reveal a simple, effective technique which does not require the use of skin grafts, and is associated with good functional and far superior cosmetic results.
本文描述了一种用于矫正并指畸形的手术技术的长期效果。自1987年起，资深作者就开始运用这项技术，并于1990年发表。该技术采用背侧三叶皮瓣重建指蹼，手指采用锯齿状切口。此技术无需使用皮肤移植。该技术已应用于44例患者的62个指蹼。在整个研究组中，有30例原发性手部并指畸形患者，共40个指蹼。对17例原发性并指畸形患者的25个指蹼进行了随访。这些患者的随访时间为2年至12年。长期结果显示，该技术简单有效，无需使用皮肤移植，且功能良好，美容效果远优于其他方法。
