CAJ | 학술논문

目的介绍改良的示指近节背侧皮瓣在轻中度虎口挛缩治疗中的应用体会.方法将原来的示指背侧岛状瓣或舌状瓣改成连同虎口一起的示指背侧局部转移皮瓣重建虎口,使皮瓣游离和虎口开大整体进行,简化了手术方法.结果临床应用111例皮瓣全部成活,术后经3～18个月(平均8.5个月)的随访,局部外形美观,拇指功能恢复良好.虎口开大的优良率为94.6%.结论改良的示指近节背侧皮瓣转位重建虎口是修复虎口挛缩的有效方法.
목적 개소개량적시지근절배측피판재경중도호구련축치료중적응용체회.방법 장원래적시지배측도상판혹설상판개성련동호구일기적시지배측국부전이피판중건호구,사피판유리화호구개대정체진행,간화료수술방법.결과 림상응용111례피판전부성활,술후경3～18개월(평균8.5개월)적수방,국부외형미관,무지공능회복량호.호구개대적우량솔위94.6%.결론 개량적시지근절배측피판전위중건호구시수복호구련축적유효방법.
Objective To introduce the improvement of the flap from the dorsal site of the index in the application of treatment in the thumb web contracture. Methods Apply improved first dorsal metacarpal flap for 111 cases of patients of the thumb web contracture releasing. The original island or tongue-shaped flaps was modified to be the local flap transfer to the thumb web. Surgical method simplified. Before thumb web contracture was released, the flap was taken from ulnar aspect to radial aspect on the dorsum of the index. The flap was transferred to cover the soft tissue defect on the first web space following the contracture releasing. Flap donor area was closed by split-thickness skin graft. Results One hundred and eleven cases of flaps survived. After the 3-18 months (mean follow-up of 8.5 months), the local appearance, thumb function recovered well for 94.6 percent. Conclusion Improved first dorsal metacarpal flap is effective methods in thumb web contracture releasing.