Browne E Z, Teague M A, Snyder C C
Plast Reconstr Surg. 1978 Jul;62(1):92-5. doi: 10.1097/00006534-197807000-00014.
When the entire digital web space has been destroyed by burn scarring and there is a contracture of the volar aspect of the web as well as the dorsum, Z-plasties and skin grafts alone seldom produce a satisfactory web space. During the past 3 years, for the release of 46 contracted web spaces in 20 burned patients, we have turned a rectangular flap from the dorsal surface of the web through into an inverted-T incision in the palm. The adjacent sides of the defects have been skin grafted. In all these patients, we obtained satisfactory release of the contracture and restoration of the web space.
当整个指蹼的数字网络空间因烧伤瘢痕而被破坏，且掌侧和背侧均存在挛缩时，单纯采用Z成形术和植皮很少能产生令人满意的指蹼空间。在过去3年中，为了松解20例烧伤患者的46个挛缩指蹼，我们从指蹼背侧翻转一个矩形皮瓣，通过手掌的倒T形切口进入。缺损的相邻边缘进行了植皮。在所有这些患者中，我们获得了满意的挛缩松解和指蹼空间的恢复。
