Myerson M S, Fortin P, Girard P
Union Memorial Hospital, Baltimore, Maryland.
Foot Ankle Int. 1994 Apr;15(4):209-12. doi: 10.1177/107110079401500410.
Nine patients with recurrent metatarsophalangeal joint extension contracture after clawtoe or hammertoe procedures were treated with Z-plasty skin closures as part of the revision surgical procedure. The indication for performing the Z-plasty was the presence of scar contracture in the skin that prevented satisfactory correction of the toe. Soft tissue release of the metatarsophalangeal joint was followed by a simple dorsal skin Z-plasty transposition. Patients were evaluated 1 1/2 to 6 years after revision surgery. No recurrence of the extension contracture had occurred.
9例在爪形趾或槌状趾手术后出现复发性跖趾关节伸展挛缩的患者，在翻修手术中采用Z形皮瓣闭合术进行治疗。进行Z形皮瓣手术的指征是皮肤存在瘢痕挛缩，妨碍了趾的满意矫正。在跖趾关节软组织松解后，进行简单的背侧皮肤Z形皮瓣移位术。在翻修手术后1.5至6年对患者进行评估。伸展挛缩未复发。
