Andermahr J, Jubel A, Elsner A, Schulz-Algie P R, Schiffer G, Koebke J
Chirurgie, Orthopädie und Unfallchirurgie, Klinik und Poliklinik für Unfall-, Hand- und Wiederherstellungschirurgie, Klinikum der Universität zu Köln, 50931, Köln.
Orthopade. 2007 Mar;36(3):265-8, 270-2. doi: 10.1007/s00132-007-1048-9.
In the constantly evolving, increasingly important field of foot surgery, the question arises as to whether the incision types currently in use are adequate. Whether Langer's lines should be considered during the operative approach to the foot is examined here. The goal of the current study was to investigate the pattern of skin cleavage lines of cadaveric feet and to establish the optimal incision type for surgical approaches to the foot.
Twelve feet from older deceased subjects were examined. The samples were fixed. The cleavage lines of the individual skin regions were outlined and evaluated. To emphasize the significance of the investigative findings, the cleavage lines and the current, relevant operative approaches were compared.
Standard current approaches often ignore skin cleavage lines, understandably resulting in cosmetically unsatisfactory scars. A chart with ideal incision types for individual operations was created.
The ideal incision should run parallel to skin cleavage lines. If this is not completely possible due to operative requirements, then at least a large part of the incision should follow these lines.
在不断发展且日益重要的足部外科领域，目前使用的切口类型是否恰当成为一个问题。本文探讨了在足部手术入路过程中是否应考虑朗格线。本研究的目的是调查尸体足部皮肤纹理的模式，并确定足部手术入路的最佳切口类型。
检查了12只来自老年死者的足部。样本进行了固定。勾勒并评估了各个皮肤区域的纹理。为强调研究结果的重要性，将纹理与当前相关的手术入路进行了比较。
当前的标准手术入路常常忽略皮肤纹理，可想而知会导致美容效果不佳的疤痕。创建了一个针对个体手术的理想切口类型图表。
理想的切口应与皮肤纹理平行。如果由于手术要求无法完全做到这一点，那么至少切口的大部分应沿着这些纹理。
