Linh N D T, Anh T V, Tuan H T, Vinh V Q
Plastic, Reconstructive and Aesthetic Surgery Center, National Burn Hospital, Ha Noi, Viet Nam.
Ann Burns Fire Disasters. 2024 Dec 31;37(4):323-329. eCollection 2024 Dec.
This article presents particular occupational burn injuries resulting in a complex defect of the digits. Nine patients with exposed bone or tendon wounds on the digits were successfully treated using the pedicle adipofascial turnover flap overlaid with skin grafts. Electrical and high-temperature contact burns resulted in five and four severe cases, respectively. Flaps were harvested from the adjacent dorsal area of the injured digit and the dimension was 2 to 4 mm wider than the defect base on their reliable blood supply. It was suggested that the advantages of adipofascial turnover flaps include a simple, one-stage procedure and minimal donor site deformity.
本文介绍了导致手指复杂缺损的特定职业性烧伤。9例手指有暴露骨或肌腱伤口的患者采用带蒂脂肪筋膜翻转皮瓣覆盖植皮成功治疗。电击伤和高温接触烧伤分别导致5例和4例严重病例。皮瓣取自受伤手指相邻的背侧区域，基于其可靠的血供，皮瓣尺寸比缺损基底宽2至4毫米。有人认为脂肪筋膜翻转皮瓣的优点包括操作简单、一期完成且供区畸形最小。
