Adani Roberto, Tarallo Luigi, Marcoccio Ignazio, Fregni Umberto
Department of Orthopaedic Surgery, University of Modena and Reggio Emilia, Modena, Italy.
J Hand Surg Am. 2006 Apr;31(4):640-6. doi: 10.1016/j.jhsa.2005.12.009.
Four patients with severe contracture of the first web space were treated with an anterolateral thigh perforator flap. The flap size ranged from 10 to 13 cm in length and from 7 to 8 cm in width. The donor site was closed directly and thinning of the flap was performed in all cases. All flaps survived and there were no re-explorations. Web space opening was maintained over the follow-up period. There was an average postoperative increase of the angle of the first web space of 61 degrees. The thinned anterolateral thigh flap provides a pliable vascularized tissue for resurfacing the skin after release of severe contracture of the first web space and represents a reliable alternative to other flaps.
4例第一蹼间隙严重挛缩患者接受了股前外侧穿支皮瓣治疗。皮瓣大小长度为10至13厘米，宽度为7至8厘米。供区直接缝合，所有病例均对皮瓣进行了修薄。所有皮瓣均存活，无需再次手术探查。随访期间蹼间隙开口得以维持。术后第一蹼间隙角度平均增加61度。修薄后的股前外侧皮瓣为第一蹼间隙严重挛缩松解术后的皮肤重建提供了柔软的带血管组织，是其他皮瓣的可靠替代方案。
