Wang An-Yuan, Gao Wei-Yang, Xie Xue-Guan, Zheng Xin, Zhang Yi-Peng, Zhang Guo-You
Department of Hand and Plastic Surgery, The 2nd Affiliated Hospital of Wenzhou Medical College, Wenzhou 325000, China.
Zhonghua Zheng Xing Wai Ke Za Zhi. 2010 Sep;26(5):325-8.
To investigate the therapeutic effect of dorsal pentagonal flap for reconstruction of the web space in congenital syndactyly.
From October 2007 to August 2009, 10 patients with congenital syndactyly were treated with dorsal pentagonal flap for web space reconstruction. During the follow-up period, the patients underwent finger functional assessment and web space appearance examination. The satisfactory rate of patients was also investigated.
10 patients with 17 reconstructed web spaces were followed up for 4-25 months (median, 15 months). Normal passive flexion and extension of fingers were achieved with good cosmetic result at web space. The abduction angle of fingers ranged from 30 degrees to 45 degrees. No web creep occurred and no secondary procedures were required. All the parents of the patients were satisfied with the results.
Web space reconstruction with dorsal pentagonal flap is easily performed with reliable blood supply and low re-operated rate. The cosmetic and functional result is satisfactory.
探讨背侧五边形皮瓣修复先天性并指蹼间隙的治疗效果。
2007年10月至2009年8月，采用背侧五边形皮瓣修复先天性并指蹼间隙10例。随访期间对患者进行手指功能评估及蹼间隙外观检查，并调查患者满意度。
10例患者共17处修复的蹼间隙随访4～25个月（中位时间15个月）。手指被动屈伸功能正常，蹼间隙外观良好。手指外展角度为30°～45°。未发生蹼挛缩，无需二次手术。所有患者家长对结果满意。
背侧五边形皮瓣修复蹼间隙操作简便，血供可靠，再次手术率低，美容及功能效果满意。
