Baker Richard H J, Niranjan Niri S
Broomfield Hospital, Chelmsford, Essex, UK.
Tech Hand Up Extrem Surg. 2015 Jun;19(2):64-7. doi: 10.1097/BTH.0000000000000080.
Longitudinal defects of the finger that extend beyond 1 phalangeal segment such as wounds that expose the flexor tendon are challenging to reconstruct because of their elongated shape. We present the use of segmental V-Y flaps to reconstruct these defects. These are ≥2 V-Y flaps orientated transversely and advanced segmentally to close the defect avoiding a linear scar. Nineteen patients had soft-tissue defects of the digits successfully reconstructed with segmental V-Y flaps in this retrospective case series. There were no total or partial flap failures and all flaps retained sensation. Segmental V-Y flaps are a safe method for reconstructing digital defects and are particularly useful in the reconstruction of longitudinal defects. They have the advantages of being homodigital, sensate, technically easy; allow direct closure of the donor site and break up linear defects that might otherwise lead to contractures.
手指超过1个指节段的纵向缺损，如暴露屈肌腱的伤口，因其形状细长，重建具有挑战性。我们介绍了使用节段性V-Y皮瓣修复这些缺损。这些是≥2个横向定向并分段推进以闭合缺损的V-Y皮瓣，避免形成线性瘢痕。在这个回顾性病例系列中，19例患者的手指软组织缺损通过节段性V-Y皮瓣成功重建。没有出现皮瓣完全或部分坏死，所有皮瓣均保留感觉功能。节段性V-Y皮瓣是修复手指缺损的一种安全方法，尤其在纵向缺损的重建中非常有用。它们具有同指、有感觉、技术操作简单的优点；可直接闭合供区，并且可分解可能导致挛缩的线性缺损。
