Gokrem S, Tuncali D, Terzioglu A, Toksoy K, Aslan G
Ankara Training and Research Hospital, Department of Plastic-Reconstructive and Aesthetic Surgery, Cebeci, Ankara, Turkey.
J Hand Surg Eur Vol. 2007 Aug;32(4):417-20. doi: 10.1016/J.JHSB.2007.02.010. Epub 2007 May 4.
The cross-finger flap has been used successfully for decades. Traditionally, the flap is elevated in the plane lying superficial to the extensor tendon. This damages the delicate subcutaneous tissues, which are important for the lengthening capacity of the skin of the dorsum of the fingers during flexion and extension. In this report, we present a modification of elevation of the cross-finger flap in a plane superficial to the dorsal veins of the fingers. This modification prevents donor finger complications such as poor graft take, extensor tendon adhesion to the graft and reduced range of finger joint movement and contour deformities. We have used this technique in six digits in four patients with successful results.
几十年来，交指皮瓣一直被成功应用。传统上，皮瓣是在伸肌腱浅面的平面掀起的。这会损伤 delicate 皮下组织，而这些组织对于手指背侧皮肤在屈伸过程中的延长能力很重要。在本报告中，我们介绍了一种在手指背侧静脉浅面的平面掀起交指皮瓣的改良方法。这种改良可防止供指出现诸如移植皮片成活率低、伸肌腱与移植皮片粘连、手指关节活动范围减小以及外形畸形等并发症。我们已将该技术应用于4例患者的6个手指，效果良好。
