Frick L, Fraisse B, Wavreille G, Fron D, Martinot V
Service de Chirurgie Infantile, Hôpital Jeanne-de-Flandre, CHRU de Lille, Université de Lille-2, Lille, France.
Chir Main. 2008 Apr-Jun;27(2-3):76-82. doi: 10.1016/j.main.2008.04.007. Epub 2008 May 21.
The authors evaluate their results of congenital syndactyly correction using a classic commisural dorsal flap technique and full thickness skin grafts to cover the lateral and medial aspect of the fingers.
It is a retrospective study on a homogeneous series of 38 children (54 simple syndactylies) operated over a 10-year period. Twenty-two children were included with a mean follow-up of five years and 10 months.
This technique is reliable, reproducible, with a low rate of complications (only four complications requiring reoperation). Long-term outcomes are satisfactory in 92% of cases.
This is an effective technique, restoring the natural shape of the web space. Procedures without skin-graft are less time-consuming in terms of operational time and cosmetically acceptable, but still need to prove their worth.
作者评估了他们使用经典的联合背侧皮瓣技术和全厚皮片覆盖手指内外侧来矫正先天性并指畸形的结果。
这是一项对10年间接受手术的38例儿童（54例单纯并指畸形）的同类病例进行的回顾性研究。纳入了22例儿童，平均随访时间为5年10个月。
该技术可靠、可重复，并发症发生率低（仅4例并发症需要再次手术）。92%的病例长期效果令人满意。
这是一种有效的技术，可恢复指蹼间隙的自然形态。无需植皮的手术在手术时间方面耗时较少且在美容上可以接受，但仍需证明其价值。
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