Harrison D H, Newton J
Regional Plastic Surgery Unit, Mount Vernon Hospital, Northwood.
J Hand Surg Br. 1991 Feb;16(1):78-83. doi: 10.1016/0266-7681(91)90135-b.
Two flaps are described which have been designed to resurface the skin around the basal flexion crease of the fingers. Their most common use is on the ulnar side of the hand but any finger can be resurfaced. Both flaps are 1 cm in width so the donor sites can be repaired directly without the use of skin grafts. Mobilisation of the fingers is therefore permissible within 24 hours and thus postoperative stiffness avoided. The one-stage cross-finger flap is of particular value in resurfacing and preventing the recurrence of Dupuytren's in the M.P. joint area. The palmar transposition flap based on the inter-digital cleft is useful for the release of volar contractures and resurfacing localised full thickness burns. They are quick to raise and very reliable, providing their nutrient vessel is retained. The donor site distortion is minimal. We have had no flap loss and no limitation of flexion.
本文描述了两种皮瓣，其设计目的是用于修复手指基部屈曲皱褶周围的皮肤。它们最常用于手部尺侧，但任何手指都可进行皮肤修复。两种皮瓣宽度均为1厘米，因此供区可直接缝合，无需植皮。这样手指在24小时内即可活动，从而避免术后僵硬。一期交叉手指皮瓣在修复掌指关节区域的皮肤以及预防Dupuytren挛缩复发方面具有特殊价值。基于指蹼间隙的掌侧移位皮瓣可用于松解掌侧挛缩以及修复局限性全层烧伤。只要保留其营养血管，这些皮瓣易于掀起且非常可靠。供区变形极小。我们未出现皮瓣坏死及屈曲受限的情况。
