Iida Naoshige, Kotake Ayako
Department of Plastic and Reconstructive Surgery, Akita Red Cross Hospital, Akita, Japan.
Ann Plast Surg. 2011 Aug;67(2):167-9. doi: 10.1097/SAP.0b013e3181cbfcf2.
We developed a new operative procedure involving the combination of 5 flaps to treat little toe polysyndactyly. We applied this procedure to 4 toes of 3 patients who had severe polysyndactyly involving skin fusion of the area from the distal interphalangeal joint to the periphery. In all 3 patients, this procedure allowed easy transfer of the flaps, caused no tension to the wound during skin suturing, and did not disrupt blood flow through the flap. The morphology of all 4 toes was favorable, and no scarring was evident. A sufficiently deep fourth interdigital space was created with this procedure without the need for skin grafting.
我们开发了一种新的手术方法，该方法涉及联合使用5个皮瓣来治疗小趾多指畸形。我们将此手术方法应用于3例患者的4个脚趾，这些患者患有严重的多指畸形，涉及从远端指间关节到周边区域的皮肤融合。在所有3例患者中，该手术方法使皮瓣易于转移，在皮肤缝合时伤口无张力，且未破坏皮瓣的血流。所有4个脚趾的形态良好，无明显瘢痕形成。通过该手术方法创建了足够深的第四趾蹼间隙，无需植皮。
