Hörl H W, Feller A M, Steinau H U, Biemer E
Abteilung für Plastische und Wiederherstellungschirurgie, Technischen Universität München, Klinikum rechts der Isar.
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1989:893-5.
Major joint movement is frequently limited following full-thickness burns of the extremities due to scar contractures. After operative correction of the contractures physical therapy is absolutely necessary. Skin contractures are treated with Z-plasty, skin graft, local flaps, pedicled flaps and free tissue transfer. The advantages and disadvantages of those procedures are described.
由于瘢痕挛缩,四肢全层烧伤后主要关节活动常常受限。挛缩经手术矫正后,物理治疗是绝对必要的。皮肤挛缩采用Z成形术、植皮、局部皮瓣、带蒂皮瓣和游离组织移植进行治疗。文中描述了这些手术方法的优缺点。