SYNDACTYLY - CAN WEB CREEP BE AVOIDED

被引:39
作者
MOSS, ALH
FOUCHER, G
机构
[1] Department of Plastic and Reconstructive Surgery, Frenchay Hospital, Bristol and S.O.S. Main, Strasbourg
关键词
D O I
10.1016/0266-7681(90)90124-M
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Syndactyly is one of the most common congenital hand deformities but there still remains a high incidence of contractures and web creep after attempts at surgical correction using many assorted techniques. Little attention has been paid to the potential junctional scar in the aetiology of web creep. To remedy this, a technique is described which involves a dorsal flap and two palmar laterally-based flaps. This method not only breaks up the palmar junctional scar but also completely reconstructs the web, not just the floor. The procedure can be used in all varieties of syndactyly and has reduced the incidence of creep in a series of 49 webs. © 1990.
引用
收藏
页码:193 / 200
页数:8
相关论文
共 31 条
[1]
Bauer, Tondra, Trusler, Technical modification in repair of syndactylysm, Plastic and Reconstructive Surgery, 17, 5, pp. 385-392, (1956)
[2]
Boyes, Bunnell's Surgery of the Hand, pp. 59-107, (1970)
[3]
Brown, Syndactyly—a review and long term results, The Hand, 9, 1, pp. 16-27, (1977)
[4]
Buck-Gramcko, Congenital malformations of the hand: indications, operative treatment and results, Scandinavian Journal of Plastic and Reconstructive Surgery, 9, pp. 190-198, (1975)
[5]
Colville, Syndactyly correction, British Journal of Plastic Surgery, 42, 1, pp. 12-16, (1989)
[6]
Cronin, Syndactylism: Results of zig-zag inclusion to prevent postoperative contracture, Plastic and Reconstructive Surgery, 18, 6, pp. 460-468, (1956)
[7]
Dieffenbach, Chirurgische Erfahrungen, besonders über die Wiederherstellung Zerstörter Theile des menschlichen Körpers nach neuen Methoden, (1829)
[8]
Dobyns, Syndactyly, Operative Hand Surgery, 1, pp. 281-293, (1982)
[9]
Ebskov, Zachariae, Surgical Methods in Syndactylism. Evaluation of 208 operations, Acta Chirurgica Scandinavia, 131, pp. 258-268, (1966)
[10]
Felizet, Opération de la syndactylie congénitale (procédé autoplastique), Revue d'Orthopedie, 3, pp. 49-61, (1892)