Mehrabi V
Z Kinderchir Grenzgeb. 1980 Jul;30 Suppl:146-8.
The present procedure for correcting scar contractures in the hand is demonstrated on the basis of experiences gained from 2 500 cases of children with burns of the upper limb. In extensive burns, vascular transplants from the inguinal region are used. The essential condition is the complete removal of all scar tissue. In relevant cases, this procedure must be complemented with extension of the tendons and arthrolysis. After the transplants have taken, functional exercises may be begun. Histological examination of the scars demonstrated malignancy in five cases.
根据从2500例上肢烧伤儿童病例中获得的经验,展示了目前手部瘢痕挛缩的矫正方法。在大面积烧伤中,使用来自腹股沟区的血管移植。关键条件是彻底清除所有瘢痕组织。在相关病例中,此程序必须辅以肌腱延长和关节松解术。移植成功后,即可开始功能锻炼。对瘢痕的组织学检查显示有5例发生恶变。