不带植皮的背侧六边形局部皮瓣用于先天性并指畸形的蹼重建
Dorsal Hexagon Local Flap Without Skin Graft for Web Reconstruction of Congenital Syndactyly.
作者信息
Wang Sisheng, Zheng Shaoluan, Li Nanzhu, Feng Zihao, Liu Qi
机构信息
Department of Pediatric Orthopaedics, The First Affiliated Hospital of Xiamen University, Xiamen, China.
Plastic Department, Xiamen Branch of Zhongshan Hospital, Xiamen, China.
出版信息
J Hand Surg Am. 2020 Jan;45(1):63.e1-63.e9. doi: 10.1016/j.jhsa.2019.03.009. Epub 2019 May 9.
PURPOSE
The ideal web reconstruction for syndactyly requires both satisfactory function and aesthetic appearance. In this study, we report a dorsal hexagon local flap with adequate size and that leaves most of the scars in the interdigital space.
METHODS
Between June 2015 and June 2017, 16 patients (10 males and 6 females) with 22 syndactylies underwent surgical reconstruction using the dorsal hexagon local flap technique. All patients had simple syndactyly. The postoperative evaluation included the quality of scarring, the extent of flexion and extension deformity, web creep, lateral flexion deformity, and rotational deformity of the digit.
RESULTS
All flaps survived and there were no postoperative complications. All patients achieved satisfactory interdigital commissure depth. During 12 to 34 months of follow-up, no case of flexion contracture or web creep after reconstruction was noted.
CONCLUSIONS
The dorsal hexagon local flap is an alternative method for syndactyly reconstruction.
TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.
目的
并指畸形理想的指蹼重建需要功能和美观均令人满意。在本研究中，我们报道一种大小合适且大部分瘢痕位于指间间隙的背侧六边形局部皮瓣。
方法
2015年6月至2017年6月，16例（男10例，女6例）共22处并指畸形患者采用背侧六边形局部皮瓣技术进行手术重建。所有患者均为单纯并指畸形。术后评估包括瘢痕质量、屈伸畸形程度、指蹼挛缩、侧方屈曲畸形和手指旋转畸形。
结果
所有皮瓣均存活，无术后并发症。所有患者指间联合深度均令人满意。在12至34个月的随访期间，重建后未发现屈曲挛缩或指蹼挛缩病例。
结论
背侧六边形局部皮瓣是并指畸形重建的一种替代方法。
研究类型/证据水平：治疗性IV级。
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