菱形皮瓣与双Z成形术联合用于手掌和手背蹼间隙烧伤挛缩的重建
Combination of rhomboid flap and double Z-plasty technique for reconstruction of palmar and dorsal web space burn contractures.
作者信息
Sari Elif, Tellioglu Ali Teoman, Altuntas Nurgul, Seven Ergin, Ozakpinar Hulda Rifat
机构信息
Kirikkale University Faculty of Medicine, Plastic, Reconstructive, and Aesthetic Surgery Department, Kirikkale, Turkey.
Yildirim Beyazit University Faculty of Medicine, Plastic, Reconstructive, and Aesthetic Surgery Department, Ankara, Turkey.
出版信息
Burns. 2015 Mar;41(2):408-12. doi: 10.1016/j.burns.2014.07.017. Epub 2014 Sep 20.
BACKGROUND
Web space contractures after a burn can cause severe impairments in hand function along with esthetic deformities. In this study we present our experience with the combined treatment technique consisted of rhomboid flap and double Z-plasty for palmar and dorsal web space contractures.
MATERIALS AND METHODS
Combined rhomboid flap and double Z-plasty was performed in eight patients with eleven web space contractures occurred after burn. The average follow-up was 10.9 months.
RESULTS
The average age of 8 patients was 16.3 years. The average duration of burn contractures was 6 years (range 1-13 years). The right third web of the patients was the most common contracted web space. In the postoperative period hematoma, infection, partial or total flap loss was not observed in any patient. Web and hand function and esthetic appearance of web spaces were satisfactory in the late postoperative period.
CONCLUSION
Rhomboid flap combined with a double Z-plasty technique was an effective choice for the treatment of palmar and dorsal web space contracture after burn.
背景
烧伤后掌指蹼挛缩可导致手部功能严重受损及美观畸形。在本研究中，我们介绍了采用菱形皮瓣和双Z成形术联合治疗手掌和手背掌指蹼挛缩的经验。
材料与方法
对8例烧伤后出现11处掌指蹼挛缩的患者实施了菱形皮瓣和双Z成形术联合治疗。平均随访时间为10.9个月。
结果
8例患者的平均年龄为16.3岁。烧伤挛缩的平均病程为6年（范围1 - 13年）。患者的右手第三掌指蹼是最常见的挛缩掌指蹼间隙。术后任何患者均未观察到血肿、感染、皮瓣部分或全部坏死。术后晚期掌指蹼的功能及手部功能和美观外观均令人满意。
结论
菱形皮瓣联合双Z成形术是治疗烧伤后手掌和手背掌指蹼挛缩的有效选择。
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