D'Arcangelo M, Gilbert A, Pirrello R
Institut de la Main, Paris, France.
J Hand Surg Br. 1996 Jun;21(3):320-4. doi: 10.1016/s0266-7681(05)80193-7.
The long-term results of a technique for correction of syndactyly are reported. The technique consists of a dorsal omega flap and a palmar anchor forming two palmar and lateral flaps. A long-term review was made of 50 patients with a minimum of 8 years follow-up operated over a period of 10 years. A total of 122 web spaces in simple, complex and syndromic syndactyly were operated on. Most patients achieved satisfactory reconstruction of the web spaces, resulting in a web of good shape. At long-term review, web creep was recorded in eight webs, and skin contractures in three fingers. This study shows the technique to be effective in reconstructing web spaces and in minimizing the prevalence of complications.
报告了一种治疗并指畸形技术的长期效果。该技术包括一个背侧ω皮瓣和一个掌侧锚定，形成两个掌侧和外侧皮瓣。对50例患者进行了长期随访，这些患者在10年期间接受手术，随访时间至少8年。共对122个简单、复杂和综合征性并指的指蹼间隙进行了手术。大多数患者的指蹼间隙重建效果满意，形成了形状良好的指蹼。在长期随访中，8个指蹼出现了指蹼挛缩，3个手指出现了皮肤挛缩。本研究表明该技术在重建指蹼间隙和降低并发症发生率方面是有效的。
