Department of Orthopedics, No 2 People's Hospital of Guangdong Province, Guangzhou, Guangdong 510317, China.
Chin Med J (Engl). 2009 Sep 20;122(18):2133-7.
Thumb web contracture is a common complication after hand injury, and can markedly affect whole hand function. Therefore, surgery involving thumb web reconstruction is often necessary to restore normal function of the involved hand. In this study, we present the application of the lateral tarsal artery (LTA) flap in first web reconstruction.
From November 1, 2005 to October 31, 2007, seven patients with severe post trauma or burn contractures around the first web space were treated with a LTA flap. All the patients were followed up.
All flaps survived, with an average size of 6.7 cm x 4.8 cm. There were no complications or recurrent contractures during follow-up. All patients were satisfied with the esthetic appearance and functional outcome of the reconstruction.
The LTA flap could be an excellent option for covering various defects in the thumb web space, serving as an excellent alternative for the thumb web space reconstruction.
拇指蹼挛缩是手部损伤后的常见并发症，可显著影响整个手部的功能。因此，常需要进行涉及拇指蹼重建的手术，以恢复受累手的正常功能。本研究介绍了应用外踝前动脉（LTA）皮瓣进行第一蹼间隙重建。
2005 年 11 月 1 日至 2007 年 10 月 31 日，7 例严重创伤后或烧伤所致第一蹼间隙挛缩的患者接受了 LTA 皮瓣治疗。所有患者均获得随访。
所有皮瓣均存活，平均大小为 6.7cmx4.8cm。随访期间无并发症或复发性挛缩。所有患者对重建的美学外观和功能结果均满意。
LTA 皮瓣可为拇指蹼间隙各种缺损的覆盖提供良好的选择，是拇指蹼间隙重建的良好替代方法。
