Pilz S M, Muradin M S, Van der Meulen J J, Hovius S E
AZR Dijkzigt, Rotterdam, The Netherlands.
J Hand Surg Br. 1998 Apr;23(2):183-5. doi: 10.1016/s0266-7681(98)80171-x.
The complications of the five different incisions used for centralization from 1970 to 1996 were evaluated. In five cases access was by an S- shaped incision, in one with a transposition flap. Sixteen centralizations were done using a radial Z-plasty in combination with an ulnar excision and four by using two opposite Z- plasties, preserving wrist mobility as much as possible. In 1995 and 1996 a bilobed flap was used in seven cases. No complications occurred with the primary procedures prior to 1995. In all seven cases where the bilobed flap was used venous congestion was seen. In four out of these seven superficial necrosis of parts of the flaps occurred. In all cases though wound healing occurred spontaneously by delayed primary healing after the standard 8 weeks of cast immobilization.
对1970年至1996年用于中心化手术的五种不同切口的并发症进行了评估。5例采用S形切口入路，1例采用移位皮瓣。16例中心化手术采用桡侧Z成形术联合尺侧切除术，4例采用两个相对的Z成形术，尽可能保留腕关节活动度。1995年和1996年，7例使用了双叶皮瓣。1995年之前的初次手术均未发生并发症。在所有使用双叶皮瓣的7例病例中均出现了静脉淤血。在这7例中的4例，皮瓣部分发生了浅表坏死。不过，在所有病例中，经过标准的8周石膏固定后，伤口均通过二期愈合自行愈合。
