摘要目的 介绍一种不需要植皮的双翼状皮瓣技术治疗并指畸形的方法.方法 采用Z形切口分离并指,并应用切取的掌指关节背侧皮肤形成的双翼状皮瓣重建指蹼,无需皮肤移植.结果 2010年5月至2016年10月,共治疗24例患者35个并指.术后无血肿、感染、皮瓣坏死等并发症发生.术后随访6 ～ 60个月,平均54个月,其中1例指蹼上移,未发生屈曲挛缩现象,所有手指均获得由背侧到掌侧倾斜45°外观良好的指蹼,无明显瘢痕增生,屈曲和外展运动功能良好.结论 双翼状皮瓣治疗并指畸形,方法简单、无需植皮、效果良好.

abstractsObjective To introduce a new surgical technique for the correction of congenital syndactyly without skin grafts.Methods The technique consists of a dorsal double-wing flap created from the dorsal skin of the metacarpophalangeal joint to cover the newly released web space and zigzag incisions in the fingers,thus avoiding the use of skin grafts in this area.Results From May 2010 to October 2016,35 web spaces in 24 patients were treated using this technique.There were no complications such as haematoma,infection or flap necrosis.The average follow-up time was 54 months (range,6 months to 60 months).One of the 35 webs developed web creep.No patients developed flexion contractures.All webs had good appearance with 45 degrees inclination from dorsal to palmar.All fingers had no obvious scar,and the flexion and abduction function were good.Conclusions The technique is simple,rapid,safe and easily performed and does not require the use of skin grafts.