游离桡动脉掌浅支皮瓣修复手指近指间关节严重屈曲挛缩畸形<br />-《中国美容医学》

文章信息/Info

Title:: Repair of Severe Flexion Contracture Deformity of the Proximal Interphalangeal Joint
with Free Radial Artery Superfi cial Palmar Flap

Author(s):: ZHANG Hang; ZENG Fu-jun; JIANG Guo-hua; DIAO Jie; LIU Yu-chuan; LIU Ya-ping; TANG Lin-jun

Keywords:: Key words: superfi cial palmar branch of radial artery; fi ngers deformities; fl exion contracture; free fl ap; soft tissue defect; defect repair

摘要:: [摘要]目的：探讨应用游离桡动脉掌浅支皮瓣修复手指近指间关节屈曲挛缩畸形临床疗效。方法：2017年2月-2019年2月，对7例手指
近指间关节屈曲挛缩瘢痕患者进行松解，并将近指间关节固定于伸直位，同时采用游离桡动脉掌浅支皮瓣覆盖创面。术后3周拆去内
固定开始功能锻炼。结果：术后随访6～19个月，腕部供区外观影响小，皮瓣柔软，手指近指间关节活动依据TAM标准，5例优，2例
良。结论：游离桡动脉掌浅支皮瓣修复手指近指间关节屈曲挛缩畸形可获得满意的功能及外形，是一种较好的临床治疗方法。

Abstract:: Abstract: Objective To evaluate the surgical technique and clinical effect of applying free superfi cial palmar branch fl ap of
radial artery for fl exion contracture deformity of fi nger interphalangeal joint. Methods From February 2017 to February 2019,
7 cases of fl exion contracture scar of fi nger proximal interphalangeal joint were released, and the proximal interphalangeal joint
was fi xed in the straight position. At the same time, superfi cial palmar branch fl ap of radial artery was used to cover the wound.
Three weeks after operation, the internal fi xation was removed and functional exercise was started. Results The patients were
followed up for 6 to 19 months. The superfi cial palmar branch fl ap of radial artery of 7 patients survived well after operation.
Follow-up patients had little effect on the appearance of the donor area of wrist, soft fl ap, fi nger function and shape recovered
well. According to TAM standard, 5 cases were excellent and 2 cases were good. Conclusion Free superfi cial palmar branch
fl ap of radial artery for the repair of fl exion contracture deformity of fi nger interphalangeal joint can obtain satisfactory function
and shape. It is a better method for the treatment of skin defect in fi nger joint.