Sugihara T, Ohura T, Umeda T
Department of Plastic and Reconstructive Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
Plast Reconstr Surg. 1991 Jan;87(1):157-64. doi: 10.1097/00006534-199101000-00027.
For the interdigital space plasty to correct a syndactyly with fusion of the distal phalanges, we adopted a new operative procedure, covering the exposed distal bone with local rectangular flaps designed transversely on both dorsal and volar surfaces. A full-thickness skin graft from the groin region covers the remaining raw surface. The procedure was performed in six patients, and the flaps measured 6 mm (width) x 12 to 16 mm (length) in four patients, 5 x 15 mm in one patient, and 5 x 18 mm in one patient. Partial necrosis was observed in only one patient, in whom a narrow flap of 5 x 18 mm was used. In the other five patients, however, the results were satisfactory on both external appearance and function during the follow-up period of 3 to 6 years.
对于指间间隙成形术以矫正伴有远节指骨融合的并指畸形，我们采用了一种新的手术方法，即利用在背侧和掌侧均横向设计的局部矩形皮瓣覆盖暴露的远节指骨。取自腹股沟区的全厚皮片覆盖其余的创面。该手术方法应用于6例患者，其中4例患者的皮瓣尺寸为6毫米（宽）×12至16毫米（长），1例患者的皮瓣尺寸为5×15毫米，1例患者的皮瓣尺寸为5×18毫米。仅1例使用5×18毫米窄皮瓣的患者出现了部分坏死。然而，在其他5例患者中，在3至6年的随访期内，外观和功能方面的结果均令人满意。
