Moss A L, Foucher G
Department of Plastic and Reconstructive Surgery, Frenchay Hospital, Bristol.
J Hand Surg Br. 1990 May;15(2):193-200. doi: 10.1016/0266-7681_90_90124-m.
Syndactyly is one of the most common congenital hand deformities but there still remains a high incidence of contractures and web creep after attempts at surgical correction using many assorted techniques. Little attention has been paid to the potential junctional scar in the aetiology of web creep. To remedy this, a technique is described which involves a dorsal flap and two palmar laterally-based flaps. This method not only breaks up the palmar junctional scar but also completely reconstructs the web, not just the floor. The procedure can be used in all varieties of syndactyly and has reduced the incidence of creep in a series of 49 webs.
并指畸形是最常见的先天性手部畸形之一，但在尝试使用多种不同技术进行手术矫正后，挛缩和蹼状皮肤松弛的发生率仍然很高。在蹼状皮肤松弛的病因中，潜在的交界性瘢痕很少受到关注。为了弥补这一点，本文描述了一种技术，该技术涉及一个背侧皮瓣和两个手掌侧方皮瓣。这种方法不仅可以打破手掌交界性瘢痕，还可以完全重建蹼，而不仅仅是蹼底。该手术可用于各种类型的并指畸形，在一系列49例蹼状皮肤中降低了皮肤松弛的发生率。
