Kurabayashi Takashi, Suzuki Yasutoshi, Asato Hirotaka
Department of Plastic and Reconstructive Surgery, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Shimotsuga, Tochigi 321-0293, Japan.
JPRAS Open. 2019 Dec 25;23:75-79. doi: 10.1016/j.jpra.2019.11.007. eCollection 2020 Mar.
Reconstruction of combined skin and tendon loss in an injury of the dorsum of the hand is a challenging problem because it is required to achieve adequate excursion of the tendon. We herein report our case of extensor tendon repair for a dorsal hand injury using a rolled deep temporal fascial (DTF) graft and a free temporoparietal fascial flap. The patient regained satisfactory hand function with minimal donor site morbidity. DTF utilization as tendon grafts spares another incision for tendon grafting. Furthermore, one can integrate all the donor sites into the temporal region by choosing the scalp as a donor site for skin grafting. Patients can benefit from this procedure, which provides a functional reconstruction of the hand and leaves only inconspicuous donor site scars.
手部背侧损伤合并皮肤和肌腱缺损的重建是一个具有挑战性的问题，因为需要实现肌腱的充分活动度。我们在此报告一例使用卷起的颞深筋膜（DTF）移植物和游离颞顶筋膜瓣修复手背损伤伸肌腱的病例。患者恢复了满意的手部功能，供区并发症极少。将DTF用作肌腱移植物可避免另做肌腱移植切口。此外，通过选择头皮作为皮肤移植的供区，可将所有供区整合到颞部区域。患者可从该手术中获益，该手术可对手部进行功能性重建，仅留下不明显的供区瘢痕。
