摘要
目的探讨趾腓侧皮瓣应用于并趾分趾术的可行性及临床效果。方法回顾性分析2014年6月—2017年6月山东大学第二医院手足外科收治的24例并趾畸形患者的临床资料。其中男14例,女10例;年龄6~47个月,中位年龄29.2个月。第1、2趾并趾畸形8例,第2、3趾并趾畸形16例。在分趾手术中均应用趾腓侧皮瓣修复趾蹼部皮肤缺损,所有病例无需植皮。结果术后24例患儿并趾畸形均得到了矫正,皮瓣均完全成活,分趾后趾蹼的深度和弧度与正常趾蹼相似。术后22例随访3~36个月,平均8.2个月;皮瓣愈合后与周围皮肤无色差;所有患儿术后足趾功能良好,与健侧对比足趾功能无明显差别,术后无严重并发症出现。结论趾腓侧皮瓣可用以修复第1、2趾和第2、3趾并趾分趾术中的软组织缺损,术中无需植皮,术后趾蹼外形满意,用于先天性并趾畸形分趾手术中安全而有效。
Objective To investigate the application of the great toe fibular island flap for syndactyly separating. Methods A retrospective analysis of 24 patients with toe deformity from June 2014 to June 2017 was performed. There were 14 boys and 10 girls, the age ranged from 6 to 47 months(median 29.2 months). There were 8 cases involved first & second toes, 16 cases involved second & third toes. The great toe fibular island flap was used for repairing skin defect of web during separating syndaetyly without skin grafting. Results All cases were corrected successfully with deep toe-webs and natural expansion between toes. Twenty-two patients were followed up for 3 to 36 months, with an average of 8.2 months. During a median follow up period of 8 months, excellent appearance and texture appeared without local pain. The color of flap was similar to that of adjacent skin without abnormal sensation. The toe fuction was good and similar to the healthy side, without serious complications. Conclusions The great toe fibular island flap may repair left skin defect in separating syndactyly of the first & second toes and the second & third toes without skin grafting. The flap is reliable, safe and efficient for syndactyly separating.
作者
徐文鹏
汪洋
张宁
曹松华
胡勇
Xu Wenpeng;Wang Yang;Zhang Ning;Cao Songhua;Hu Yong(Department of Hand & Foot Surgery, the Second Hospital of Shandong University, Foot & Ankle Surgery Center of Shandong University, Ji'nan 250033, China)
出处
《中华解剖与临床杂志》
2019年第2期129-132,共4页
Chinese Journal of Anatomy and Clinics
基金
山东大学第二医院青年基金(Y2015010019).
关键词
足畸形
先天性
并趾
趾腓侧皮瓣
趾蹼重建
Foot deformities, congenital
Syndactyly
The great toe fibular island flap
Web recreation
