Winspur I
J Hand Surg Am. 1981 Jan;6(1):70-2. doi: 10.1016/s0363-5023(81)80014-7.
A method is described for the management of thumb amputation at the level of the interphalangeal (IP) joint when the thumb is unsuitable for replantation. This method provides healthy stump coverage with an innervated volar thumb rotation advancement flap, preserving unviolated the critical ulnar dorsal area of the stump. THe deep Z-plasty facilitates the movement of the thumb flap and allows direct closure of the secondary defect. The simultaneous deepening of the web space effectively lengthens the thumb. The method has been used in four patients for whom replantation was not suitable. The flaps have proved safe, reliable, and mobile. Reconstruction is completed in one stage.
本文描述了一种在拇指不适合再植时处理指间关节水平拇指离断的方法。该方法采用带神经支配的掌侧拇指旋转推进皮瓣为健康残端提供覆盖，保留残端关键的尺背侧区域不受侵犯。深部Z成形术有助于拇指皮瓣的移动，并可直接闭合继发缺损。同时加深虎口可有效延长拇指。该方法已应用于4例不适合再植的患者。事实证明，皮瓣安全、可靠且活动度良好。重建手术可一期完成。
