Cil Yakup, Yapici Abdul Kerim, Kocman Atacan Emre, Ozturk Serdar
Department of Plastic Surgery, Eskisehir Military Hospital, Eskisehir, Turkey.
J Burn Care Res. 2009 Jul-Aug;30(4):643-7. doi: 10.1097/BCR.0b013e3181abffe7.
Flap choices for the coverage of the proximal phalangeal soft tissue defects of the finger and web space burn contractures are limited. A unipedicled distally based venous flap was raised from the third or fourth metacarpal area of the hand for proximal phalangeal soft tissue defects of the finger and web space burn contracture. For clinical use, we operated seven male patients using this venous flap. Superficial necrosis involving two flaps did not interfere with flap survival. Mild edema and venous congestion occurred in all flaps. All flaps survived completely. The mean follow-up period of the flaps was 6 months, ranging from 3 to 14 months. A well-planned distally based venous flap is an useful option for the coverage of the proximal phalangeal soft tissue burn defects of the finger and web space burn contracture of the hand.
用于覆盖手指近节指骨软组织缺损和掌蹼间隙烧伤挛缩的皮瓣选择有限。从手部第三或第四掌骨区域掀起一个带蒂的远端蒂静脉皮瓣，用于修复手指近节指骨软组织缺损和掌蹼间隙烧伤挛缩。在临床应用中，我们使用该静脉皮瓣对7例男性患者进行了手术。2个皮瓣出现浅表坏死，但未影响皮瓣存活。所有皮瓣均出现轻度水肿和静脉淤血。所有皮瓣均完全存活。皮瓣的平均随访期为6个月，范围为3至14个月。精心设计的远端蒂静脉皮瓣是覆盖手指近节指骨软组织烧伤缺损和手部掌蹼间隙烧伤挛缩的一种有用选择。
