Ekerot L
Department of Hand Surgery, Malmö General Hospital, Lund University, Sweden.
J Hand Surg Br. 1995 Feb;20(1):111-4. doi: 10.1016/s0266-7681(05)80028-2.
Surgery for recurrence of Dupuytren's disease often results in a volar skin defect. The use of the distally-based dorsal hand flap for resurfacing is reported. 17 flaps were used to cover 16 fingers after radical digital fasciectomy. All flaps survived with minor areas of partial necrosis in four of them. The raising of the flap was a simple procedure and good quality skin cover was achieved. There were no complaints about the donor site or the flap pedicle passing between the digits. The short post-operative immobilization time might result in less stiffness and a better functional result. It is concluded that the flap is a useful technique in treating skin defects in this condition resulting from surgical excision of the disease and involved skin.
Dupuytren病复发后的手术常导致手掌皮肤缺损。本文报道了使用远端蒂手背皮瓣进行创面修复。17例皮瓣用于根治性指屈肌腱切断术后覆盖16个手指。所有皮瓣均存活，其中4例有小面积部分坏死。皮瓣掀起操作简单，获得了质量良好的皮肤覆盖。供区及皮瓣蒂部在手指间穿行均无不适主诉。术后较短的固定时间可能导致较少的僵硬和更好的功能结果。结论是，该皮瓣是治疗本病手术切除病变及受累皮肤后所致皮肤缺损的一种有用技术。
