Mahmoud Mostafa, Abdel-Ghani Hisham, Elfar John C
Kasr Al Ainy Hospital, Faculty of Medicine, Cairo University, Cairo, Egypt; Department of Orthopedics and Rehabilitation, University of Rochester Medical Center, Rochester, New York.
J Hand Surg Am. 2013 Nov;38(11):2251-6. doi: 10.1016/j.jhsa.2013.08.107.
In our experience, previous flaps designed for correction of the skin deficiency in complex clasped thumb do not sufficiently address the palmar contracture of the deformity. Moreover, the index finger flap, previously described by Ezaki and Oishi, provides insufficient skin at its apex with the possibility of incomplete correction and the frequent need of a thenar release incision. This article describes a flap designed for widening of the narrow thumb-index web space and release of the palmar thumb contracture in cases of congenital clasped thumb. This flap provides sufficient correction of the palmar contracture and at the same time provides adequate width and depth of the thumb-index web space.
根据我们的经验，以往用于矫正复杂扣拇畸形皮肤缺损的皮瓣，不足以解决该畸形的掌侧挛缩问题。此外，Ezaki和Oishi之前描述的示指皮瓣，其尖端提供的皮肤不足，有可能无法完全矫正，且经常需要进行鱼际松解切口。本文描述了一种皮瓣，用于在先天性扣拇病例中扩大狭窄的拇指-示指蹼间隙并松解拇指掌侧挛缩。该皮瓣能充分矫正掌侧挛缩，同时提供足够的拇指-示指蹼间隙宽度和深度。
