Plane-shaped flap for reconstruction of the web space in polysyndactyly of the fifth toe fused with the fourth toe

中华医学美学美容杂志 Pub Date : 2019-12-15 DOI:10.3760/CMA.J.ISSN.1671-0290.2019.06.016

Youjing Wang, Weimin Shen, J. Cui, Yi Ji, Hai-ni Chen, Jun Yan, Qingwen Gao, Tao Han

{"title":"Plane-shaped flap for reconstruction of the web space in polysyndactyly of the fifth toe fused with the fourth toe","authors":"Youjing Wang, Weimin Shen, J. Cui, Yi Ji, Hai-ni Chen, Jun Yan, Qingwen Gao, Tao Han","doi":"10.3760/CMA.J.ISSN.1671-0290.2019.06.016","DOIUrl":null,"url":null,"abstract":"Objective \nTo discuss the application of plane-shaped flaps for reconstruction of the web space in polysyndactyly of the fifth toe fused with the fourth toe. \n \n \nMethods \nA total of 62 cases (81 feet) with polysyndactyly of the fifth toe fused with the fourth toe were involved in the study, 53 of which were incomplete and 9 were complete fusion of the fourth and fifth toe. The fifth toe showed various degrees of fibular clinodactyly and minor deformities. Excision of polydactyly and then using arthroplasty or osteotomy correction deviation was for fibular clinodactyly. All plane-shaped flaps were used for reconstruction of the web space deeply, and the lateral sides of toes were closed with flaps and the distal soft tissues of polydactyly were used lengthening the reconstructed fifth toe. Brachydactylias were improved, and nail folds were reconstructed. Thus, the appearances reached the normal level. \n \n \nResults \nAll the webs were reconstructed primarily without skingraft. After 12 months of follow-up, these reconstructed web space were satisfied with good appearances of width, depth and gradient. The fibular clinodactyly was completely corrected, and brachydactylias were corrected in various degrees. Nail folds reached the normal ones. \n \n \nConclusions \nPlane-shaped flap in polysyndactyly of the fifth toe fused with the fourth toe for reconstruction of the web space is satisfactory. The reconstructed webs not only achieves good appearance, but also avoids skin grafts. It is one of the best choices of the polysyndactyly treatment. \n \n \nKey words: \nReconstructive surgical procedures; Child; Polysyndactyly of the toes; Syndactyly; Web space reconstruction; Plane-shaped flap","PeriodicalId":10094,"journal":{"name":"中华医学美学美容杂志","volume":"25 1","pages":"500-503"},"PeriodicalIF":0.0000,"publicationDate":"2019-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华医学美学美容杂志","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1671-0290.2019.06.016","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Objective To discuss the application of plane-shaped flaps for reconstruction of the web space in polysyndactyly of the fifth toe fused with the fourth toe. Methods A total of 62 cases (81 feet) with polysyndactyly of the fifth toe fused with the fourth toe were involved in the study, 53 of which were incomplete and 9 were complete fusion of the fourth and fifth toe. The fifth toe showed various degrees of fibular clinodactyly and minor deformities. Excision of polydactyly and then using arthroplasty or osteotomy correction deviation was for fibular clinodactyly. All plane-shaped flaps were used for reconstruction of the web space deeply, and the lateral sides of toes were closed with flaps and the distal soft tissues of polydactyly were used lengthening the reconstructed fifth toe. Brachydactylias were improved, and nail folds were reconstructed. Thus, the appearances reached the normal level. Results All the webs were reconstructed primarily without skingraft. After 12 months of follow-up, these reconstructed web space were satisfied with good appearances of width, depth and gradient. The fibular clinodactyly was completely corrected, and brachydactylias were corrected in various degrees. Nail folds reached the normal ones. Conclusions Plane-shaped flap in polysyndactyly of the fifth toe fused with the fourth toe for reconstruction of the web space is satisfactory. The reconstructed webs not only achieves good appearance, but also avoids skin grafts. It is one of the best choices of the polysyndactyly treatment. Key words: Reconstructive surgical procedures; Child; Polysyndactyly of the toes; Syndactyly; Web space reconstruction; Plane-shaped flap

查看原文本刊更多论文

平面皮瓣重建第5趾与第4趾多指趾融合趾蹼空间

目的探讨平面状皮瓣在第五趾与第四趾多趾融合术中的应用。方法对62例（81英尺）第五趾多趾与第四趾融合的患者进行研究，其中53例为不完全融合，9例为第四趾与第五趾完全融合。第五趾有不同程度的腓骨斜指畸形和轻微畸形。切除多指，然后使用关节成形术或截骨术矫正腓骨斜指畸形。所有平面状皮瓣均用于深部网状间隙重建，用皮瓣闭合趾外侧，并用多指远端软组织延长重建的第五趾。改善了腕关节，重建了甲襞。因此，外观达到了正常水平。结果所有网状组织均在无皮片的情况下重建。经过12个月的随访，这些重建的网状空间在宽度、深度和梯度方面都很满意。腓骨斜指畸形得到完全矫正，短指畸形得到不同程度的矫正。指甲褶皱达到正常。结论第五趾和第四趾多趾融合的平面状皮瓣重建趾网间隙效果良好。重建的网状物不仅具有良好的外观，而且避免了皮肤移植。它是治疗多指畸形的最佳选择之一。关键词：重建外科手术；儿童；脚趾多指畸形；指合；网络空间重构；平面形襟翼

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

中华医学美学美容杂志

自引率

0.00%

发文量

4641

期刊介绍： "Chinese Journal of Medical Aesthetics and Cosmetology" is a high-end academic journal focusing on the basic theoretical research and clinical application of medical aesthetics and cosmetology. In March 2002, it was included in the statistical source journals of Chinese scientific and technological papers of the Ministry of Science and Technology, and has been included in the full-text retrieval system of "China Journal Network", "Chinese Academic Journals (CD-ROM Edition)" and "China Academic Journals Comprehensive Evaluation Database". Publishes research and applications in cosmetic surgery, cosmetic dermatology, cosmetic dentistry, cosmetic internal medicine, physical cosmetology, drug cosmetology, traditional Chinese medicine cosmetology and beauty care. Columns include: clinical treatises, experimental research, medical aesthetics, experience summaries, case reports, technological innovations, reviews, lectures, etc.