D'Souza H, Aroojis A, Yagnik M G, Nagda T V
Department of Paediatric Orthopaedics, Bai Jerbai Wadia Hospital for Children, Parel, Mumbai, India.
J Postgrad Med. 1996 Oct-Dec;42(4):112-4.
Skin necrosis and wound problems complicate surgical release of severe neglected clubfoot. This is primarily due to excessive tension on the skin edges and a poor understanding of abnormal vascular anatomy in clubfoot. We report a technique of primary skin closure using a local rotation fasciocutaneous flap using the conventional posteromedial skin incision (Turco). Primary uncomplicated wound healing was achieved within 2 weeks in all 16 rigid and neglected clubfeet (1-7 years) operated by this technique. This flap is scientifically logical, technically easy and ensures primary wound healing.
皮肤坏死和伤口问题使严重 neglected clubfoot 的手术松解变得复杂。这主要是由于皮肤边缘的张力过大以及对 clubfoot 异常血管解剖结构的认识不足。我们报告一种使用传统后内侧皮肤切口（Turco）的局部旋转筋膜皮瓣进行一期皮肤闭合的技术。采用该技术手术的所有 16 例僵硬性和 neglected clubfoot（1 - 7 岁）均在 2 周内实现了一期无并发症伤口愈合。该皮瓣在科学上合乎逻辑，技术上简单易行，并确保了一期伤口愈合。
