EFFECTIVENESS OF DIFFERENT FLAPS FOR REPAIR OF SEVERE PALM SCAR CONTRACTURE DEFORMITY_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

PANGMengru , XIAOHaitao , WANGHuaisheng , LIUXiaoxue ,  CHENJunjie ,  CENYing

Department of Burn and Plastic Surgery, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China;

Corresponding?author：

CHENJunjie, Email: cjjemail@163.com; CENYing, Email: cenying835@163.com

Keywords：

Scar contracture; Soft tissue defect; Free flap; Pedicled flap; Island flap

DOI：

10.7507/1002-1892.20160075

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the effectiveness of different flaps for repair of severe palm scar contracture deformity. Methods Between February 2013 and March 2015, thirteen cases of severe palm scar contracture deformity were included in the retrospective review. There were 10 males and 3 females, aged from 14 to 54 years (mean, 39 years). The causes included burn in 9 cases, hot-crush injury in 2 cases, chemical burn in 1 case, and electric burn in 1 case. The disease duration was 6 months to 6 years (mean, 2.3 years). After excising scar, releasing contracture and interrupting adherent muscle and tendon, the soft tissues and skin defects ranged from 6.0 cm×4.5 cm to 17.0 cm×7.5 cm. The radial artery retrograde island flap was used in 2 cases, the pedicled abdominal flaps in 4 cases, the thoracodorsal artery perforator flap in 2 cases, the anterolateral thigh flap in 1 case, and the scapular free flap in 4 cases. The size of flap ranged from 6.0 cm×4.5 cm to 17.0 cm×7.5 cm. Results All flaps survived well. Venous thrombosis of the pedicled abdominal flaps occurred in 1 case, which was cured after dressing change, and healing by first intention was obtained in the others. The mean follow-up time was 8 months (range, 6-14 months). Eight cases underwent operation for 1-3 times to make the flap thinner. At last follow-up, the flaps had good color, and the results of appearance and function were satisfactory. Conclusion Severe palm scar contracture deformity can be effectively repaired by proper application of different flaps.

Citation： PANGMengru, XIAOHaitao, WANGHuaisheng, LIUXiaoxue, CHENJunjie, CENYing. EFFECTIVENESS OF DIFFERENT FLAPS FOR REPAIR OF SEVERE PALM SCAR CONTRACTURE DEFORMITY. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(3): 382-384. doi: 10.7507/1002-1892.20160075 Copy

1.	李軍, 陳積民.手部瘢痕攣縮畸形治療及功能恢復的評價.現代康復, 1999, 3(7): 821-821.
2.	王煒.整形外科學.杭州:浙江科學技術出版社, 1999: 100-101, 176-178, 1214-1240, 1520.
3.	梁好, 李風景, 牛軍.腹部帶蒂皮瓣修復治療手部軟組織缺損.實用醫藥雜志, 2011, 28(1): 45.
4.	李孝新, 曾鎖林, 黃平, 等.帶蒂髂腹股溝皮瓣修復手部軟組織缺損20例.西部醫學, 2011, 23(3): 521-522.
5.	Wei Fu-Chan, Mardini Samir. Flaps and Reconstructive Surgery.北京:人民衛生出版社, 2011: 247-260.
6.	王東超.橈動脈皮支逆行皮瓣的應用解剖研究.青海醫學院學報, 2010, 31(2): 109-111.
7.	王琳.橈動脈逆行島狀皮瓣治療手掌瘢痕攣縮.淮海醫藥, 2002, 20(2): 124-125.
8.	鄧昭元, 張仰, 黃思責.橈動脈逆行島狀皮瓣的臨床應用.中國燒傷創瘍雜志, 2004, 16(2): 141-142.
9.	張滌生.顯微外科的歷史回顧和展望.中華顯微外科雜志, 2006, 29(1): 1-3.
10.	孫奎, 張穎.肩胛皮瓣和小腿后側皮瓣聯合修復足部缺損.中華整形外科雜志, 2005, 21(6): 475.
11.	臧成五, 趙睿, 張航, 等.游離肩胛皮瓣修復足踝部創面的臨床應用.中華顯微外科雜志, 2014, 37(3): 297-298.
12.	陳星隆, 高偉陽, 洪建軍, 等.游離肩胛皮瓣修復手腕部軟組織缺損.中華手外科雜志, 2004, 20(2): 77-78.
13.	劉寧, 李小兵, 張靜琦.直接攜帶游離肩胛皮瓣修復難治性創面.中華燒傷雜志, 2010, 26(3): 228-229.
14.	張靜琦, 劉寧, 曹建功.肩胛皮瓣在修復皮膚軟組織缺損中的應用.中國實用美容整形外科雜志, 2005, 16(4): 219-220.
15.	盧仕良, 謝偉勇, 陶國責.肩胛皮瓣在四肢組織缺損美學修復中的應用.武警醫學, 2011, 22(8): 679-684.
16.	吳學強, 劉會仁, 劉德群.股前外側皮瓣應用研究的進展.中華顯微外科雜志, 2011, 34(1): 83-85.
17.	王愛國, 邱勇.股前外側皮瓣遠側肌皮穿支的解剖學研究與臨床應用.中華骨科雜志, 2011, 31(3): 255-259.
18.	舒偉, 夏德林.股前外側皮瓣的解剖及應用進展.西南國防醫藥, 2015, 25(3): 340-342.
19.	何齊, 高碧奇, 李會曉.游離股前外側皮瓣修復四肢軟組織缺損.實用手外科雜志, 2010, 24(1): 65-77.
20.	劉國強, 劉澤, 吳文元, 等.股前外側皮瓣修復軟組織缺損的臨床應用.中國煤炭工業醫學雜志, 2008, 11(8): 1198-1199.
21.	楊大平, 唐茂林, Steve F. Morris, 等.胸背動脈穿支皮瓣的解剖研究和臨床應用.中國臨床解剖學雜志, 2006, 24(2): 240-242.

1. 李軍, 陳積民.手部瘢痕攣縮畸形治療及功能恢復的評價.現代康復, 1999, 3(7): 821-821.
2. 王煒.整形外科學.杭州:浙江科學技術出版社, 1999: 100-101, 176-178, 1214-1240, 1520.
3. 梁好, 李風景, 牛軍.腹部帶蒂皮瓣修復治療手部軟組織缺損.實用醫藥雜志, 2011, 28(1): 45.
4. 李孝新, 曾鎖林, 黃平, 等.帶蒂髂腹股溝皮瓣修復手部軟組織缺損20例.西部醫學, 2011, 23(3): 521-522.
5. Wei Fu-Chan, Mardini Samir. Flaps and Reconstructive Surgery.北京:人民衛生出版社, 2011: 247-260.
6. 王東超.橈動脈皮支逆行皮瓣的應用解剖研究.青海醫學院學報, 2010, 31(2): 109-111.
7. 王琳.橈動脈逆行島狀皮瓣治療手掌瘢痕攣縮.淮海醫藥, 2002, 20(2): 124-125.
8. 鄧昭元, 張仰, 黃思責.橈動脈逆行島狀皮瓣的臨床應用.中國燒傷創瘍雜志, 2004, 16(2): 141-142.
9. 張滌生.顯微外科的歷史回顧和展望.中華顯微外科雜志, 2006, 29(1): 1-3.
10. 孫奎, 張穎.肩胛皮瓣和小腿后側皮瓣聯合修復足部缺損.中華整形外科雜志, 2005, 21(6): 475.
11. 臧成五, 趙睿, 張航, 等.游離肩胛皮瓣修復足踝部創面的臨床應用.中華顯微外科雜志, 2014, 37(3): 297-298.
12. 陳星隆, 高偉陽, 洪建軍, 等.游離肩胛皮瓣修復手腕部軟組織缺損.中華手外科雜志, 2004, 20(2): 77-78.
13. 劉寧, 李小兵, 張靜琦.直接攜帶游離肩胛皮瓣修復難治性創面.中華燒傷雜志, 2010, 26(3): 228-229.
14. 張靜琦, 劉寧, 曹建功.肩胛皮瓣在修復皮膚軟組織缺損中的應用.中國實用美容整形外科雜志, 2005, 16(4): 219-220.
15. 盧仕良, 謝偉勇, 陶國責.肩胛皮瓣在四肢組織缺損美學修復中的應用.武警醫學, 2011, 22(8): 679-684.
16. 吳學強, 劉會仁, 劉德群.股前外側皮瓣應用研究的進展.中華顯微外科雜志, 2011, 34(1): 83-85.
17. 王愛國, 邱勇.股前外側皮瓣遠側肌皮穿支的解剖學研究與臨床應用.中華骨科雜志, 2011, 31(3): 255-259.
18. 舒偉, 夏德林.股前外側皮瓣的解剖及應用進展.西南國防醫藥, 2015, 25(3): 340-342.
19. 何齊, 高碧奇, 李會曉.游離股前外側皮瓣修復四肢軟組織缺損.實用手外科雜志, 2010, 24(1): 65-77.
20. 劉國強, 劉澤, 吳文元, 等.股前外側皮瓣修復軟組織缺損的臨床應用.中國煤炭工業醫學雜志, 2008, 11(8): 1198-1199.
21. 楊大平, 唐茂林, Steve F. Morris, 等.胸背動脈穿支皮瓣的解剖研究和臨床應用.中國臨床解剖學雜志, 2006, 24(2): 240-242.

Chinese Journal of Reparative and Reconstructive Surgery

EFFECTIVENESS OF DIFFERENT FLAPS FOR REPAIR OF SEVERE PALM SCAR CONTRACTURE DEFORMITY

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content