Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine, Matsumoto City, Japan.
Department of Plastic and Reconstructive Surgery, Ina Central Hospital, Ina City, Japan.
J Hand Surg Eur Vol. 2021 May;46(4):378-383. doi: 10.1177/1753193420979220. Epub 2020 Dec 10.
We performed a comparative study looking at the aesthetic outcomes of using a digital artery vascularized adipose flap (DAAF) for treatment of Wassel type IV radial polydactyly versus a fillet flap technique. Clinical charts and pictures of patients between 2002 and 2017 were reviewed to evaluate the appearance of 16 reconstructed thumbs using a visual analogue scale. Our results showed that the DAAF technique resulted in better outcomes with regard to contour of the thumb than the fillet flap group, with significantly less conspicuous scarring in the DAAF group. We conclude that the DAAF can produce better aesthetic outcomes in the reconstruction of radial polydactyly than conventional fillet flaps. III.
我们进行了一项对比研究，观察使用数字动脉血管化脂肪瓣（DAAF）治疗 Wassel Ⅳ型桡侧多指与皮瓣成形术的美学效果。回顾了 2002 年至 2017 年间患者的临床图表和照片，使用视觉模拟评分法评估 16 个重建拇指的外观。我们的结果表明，与皮瓣组相比，DAAF 技术在拇指轮廓方面的效果更好，DAAF 组的疤痕不明显。我们得出结论，与传统皮瓣成形术相比，DAAF 可在桡侧多指重建中获得更好的美学效果。III。
