双翼状皮瓣趾蹼重建术治疗并趾畸形的临床效果分析  

Clinical analysis of the double-wing flap for treatment of toe syndactyly

作　　者：董延召[1] 刘福云[1] 郭永成[1] Dong Yanzhao;Liu Fuyun;Guo Yongeheng(Orthopedics Department,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第三附属医院骨科,450052

出　　处：《中华外科杂志》2018年第12期906-909,共4页Chinese Journal of Surgery

摘　　要：目的 探讨应用双翼状皮瓣趾蹼重建术治疗并趾畸形的临床效果.方法 回顾性分析2010年2月至2017年10月在郑州大学第三附属医院骨科接受双翼状皮瓣趾蹼重建术治疗的47例患者(60个并趾)的临床资料.男性21例,女性26例;年龄18.9个月(范围:10~48个月).患者均采用Z形切口分离并趾并应用双翼状皮瓣重建指蹼,无皮肤移植.观察患者足趾外观和伤口愈合情况.结果 47例患者均得到随访,随访时间62.3个月(范围:6~80个月).患者术后足趾均无血肿、感染、皮瓣坏死等并发症发生;无屈曲挛缩、无明显瘢痕增生;其中4例出现趾蹼上移;所有趾蹼外观均由背侧到跖侧倾斜45°,屈曲和外展运动功能良好.结论 双翼状皮瓣趾蹼重建术治疗并趾畸形,手术方式简单、安全,可获得良好的手术效果.Objective To explore the clinical effect of double-wing flap for the treatment of toe syndactyly. Methods Retrospective analysis of 47 patients (60 syndactyly toes) who underwent double-wing flap to reconstruct toe web space in orthopedics department of the Third Affiliated Hospital of Zhengzhou University from February 2010 to October 2017. There were 21 males and 26 females,with an average age of 18. 9 months (range: 10-48 months) . All patients were treated with zigzag incisions to separate the toe syndactylys without skin grafts. The condition of wound healing and appearance of toes were observed. Results The average follow-up time was 62. 3 months (range:6 to 80 months). There were no complications such as hematoma, infection, flap necrosis and no flexion contracture and obvious scar hyperplasia in all the 47 cases,4 of the 60 webs developed web creep. All webs had good appearance with 45 degrees inclination from the dorsal to the metatarsal side and had good flexion and abduction function. Conclusions The double-wing flap is a simple and safe operation for toe syndactyly which has a good clinical effect.

关 键 词：并指(趾) 治疗结果 双翼状皮瓣 趾蹼重建 皮肤移植 

分 类 号：R687.3[医药卫生—骨科学]