Chen Yang, Yong Yang, Wenyao Zhong, Bin Li, Feng Li
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引用次数: 0
摘要
目的：本研究旨在比较五瓣Z成形术和双Z成形术治疗烧伤后或外伤后指间袋蹼挛缩对外展的改善和蹼斜率的变化：我们对 11 名烧伤后或创伤后指间袋蹼挛缩患者的 16 个蹼进行了回顾性研究。7名患者接受了5瓣z成形术，4名患者接受了双瓣z成形术。术前和术后每3个月测量一次患指的外展和倾斜角度：随访时间从 12 个月到 36 个月不等。两组患者的术后外展角度均有所改善。五瓣z成形术组术后平均外展角增加了19°±4°，而双瓣z成形术组术后平均外展角增加了12°±2°；术后蹼斜角分别减少了30°±5°和22°±2°。所有患者都能主动活动受影响的蹼和手指，没有疼痛或其他不适感：根据外展角的改善和斜角的变化，五瓣z成形术可被视为替代双瓣z成形术治疗趾间袋蹼挛缩的更好方法：治疗 IV.
Comparison Study of 5-Flap Z-Plasty and Double Z-Plasty for Interdigital Pocket Web Contractures.
Purpose: The aim of this study was to compare the improvement in abduction and change in web slope between 5-flap z-plasty and double z-plasty for post-burn or post-trauma interdigital pocket web contractures.
Methods: We retrospectively reviewed 16 webs in 11 patients with post-burn or post-trauma interdigital pocket web contractures. Seven patients underwent 5-flap z-plasty and 4 double z-plasty. The abduction and slope angles of the affected fingers were measured before surgery and every 3 months after surgery.
Results: The follow-up time ranged from 12 to 36 months. The postoperative abduction angle improved in both groups. There was an increase of 19° ± 4° in the mean abduction angle after surgery in the 5-flap z-plasty group compared with a mean of 12° ± 2° in the double z-plasty group; the postoperative decrease in the web slope angle was 30° ± 5° and 22° ± 2°, respectively. All patients were able to actively move the affected webs and fingers with no pain or other discomfort.
Conclusions: Five-flap z-plasty can be considered a better alternative to double z-plasty for interdigital pocket web contractures based on the improvement in abduction angle and changes in the slope angle.
期刊介绍：
The Journal of Hand Surgery publishes original, peer-reviewed articles related to the pathophysiology, diagnosis, and treatment of diseases and conditions of the upper extremity; these include both clinical and basic science studies, along with case reports. Special features include Review Articles (including Current Concepts and The Hand Surgery Landscape), Reviews of Books and Media, and Letters to the Editor.
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