Numanoglu A
Marmara University School of Medicine, Department of Plastic and Reconstructive Surgery, Istanbul, Turkiye.
Plast Reconstr Surg. 1993 Sep;92(3):543-6. doi: 10.1097/00006534-199309000-00028.
Web-like contractures may occur along both the outer borders of joints, creating double-parallel contracture bands that turn into webs during movements. A combination of two "five-flap z-plasties" lying in confrontation to each other was used to release such contractures. The two Vs face each other and meet at their upper ends, forming a rhomboid (Fig. 1, a and b) or hexagon (Fig. 1, c and d) whose position remains unchanged after the contractures have been released and all the flaps transferred or advanced. This method has been used to release a total of seven double-parallel web-like linear contractures with very satisfactory results. Paired five-flap z-plasty seems to be superior when release of double web-like contractures, with the presence of sufficient spared skin, is contemplated.
蹼状挛缩可能沿关节的两个外缘出现，形成双平行挛缩带，在运动时变为蹼。采用两个相互对置的“五瓣Z成形术”组合来松解此类挛缩。两个V形相对，在其上端相交，形成一个菱形（图1，a和b）或六边形（图1，c和d），在挛缩松解且所有皮瓣转移或推进后其位置保持不变。该方法已用于松解总共7例双平行蹼状线性挛缩，效果非常满意。当考虑松解双蹼状挛缩且有足够的备用皮肤时，成对的五瓣Z成形术似乎更具优势。
