Cil Yakup, Kocman Atacan Emre, Yapici Abdul Kerim
Department of Plastic Surgery, Eskisehir Military Hospital, 26020, Eskisehir, Turkey.
Chir Organi Mov. 2009 Dec;93(3):123-9. doi: 10.1007/s12306-009-0044-0. Epub 2009 Oct 30.
Skin grafts and local flaps are conventional methods for repairing simple syndactyly. Skin grafts usually leave unsightly appearance and contracture formation. In this study, unipedicled distally based venous flap were raised from third or fourth metacarpal area of the hand for syndactyly treatment. The distally based venous flap was to provide skin coverage to one side of the finger, in order to avoid complications arising from using skin graft. Nine patients' syndactylies (5 simple incomplete and 4 simple complete syndactyly) were treated using this method. The mean follow-up period of the flaps was 14 months, ranging from 12 to 16 months. Mild edema and venous congestion occurred in all flaps. Superficial necrosis involving two flaps did not affect flap survival. All flaps survived completely. In this article, we have described a new surgical technique for the correction of syndactyly in a single surgical procedure that utilizes a distally based venous flap to provide skin coverage without skin graft.
皮肤移植和局部皮瓣是修复单纯并指的传统方法。皮肤移植通常会留下难看的外观和挛缩形成。在本研究中，从手部第三或第四掌骨区域掀起带蒂远端静脉皮瓣用于并指治疗。远端静脉皮瓣用于为手指一侧提供皮肤覆盖，以避免使用皮肤移植引起的并发症。采用该方法治疗了9例并指患者（5例单纯不完全并指和4例单纯完全并指）。皮瓣的平均随访期为14个月，范围为12至16个月。所有皮瓣均出现轻度水肿和静脉淤血。涉及两个皮瓣的浅表坏死未影响皮瓣存活。所有皮瓣均完全存活。在本文中，我们描述了一种新的手术技术，用于在单一手术过程中矫正并指，该技术利用远端静脉皮瓣提供皮肤覆盖而无需皮肤移植。
Zotero 插件