Dellon A L
J Hand Surg Am. 1983 Mar;8(2):190-4. doi: 10.1016/s0363-5023(83)80014-8.
A technique is presented that permits resurfacing up to 3 cm of palmar skin loss from the thumb, while preserving thumb length, minimizing thumb joint flexion contracture, and providing normal sensibility. The classic Moberg palmar advancement flap is extended proximally onto the thenar eminence. The radial and ulnar defects created by the distal advancement of the flap are closed by two additional local rotation flaps. Scarring is acceptable and follows natural lines. The technique is applicable for both primary repair and secondary reconstruction.
本文介绍了一种技术，该技术可用于修复拇指掌侧高达3厘米的皮肤缺损，同时保留拇指长度，最大限度减少拇指关节屈曲挛缩，并提供正常的感觉功能。经典的莫伯格掌侧推进皮瓣向近端延伸至鱼际隆起。皮瓣远端推进所形成的桡侧和尺侧缺损，通过另外两个局部旋转皮瓣进行闭合。瘢痕形成可接受，且顺应自然纹理。该技术适用于一期修复和二期重建。
