手部先天性并指畸形的手术治疗进展
钟文耀
田文
李淳
赵俊会
孙丽颖
1.00035,北京积水潭医院手外科2.00035,北京积水潭医院手外科3.00035,北京积水潭医院手外科4.00035,北京积水潭医院手外科5.00035,北京积水潭医院手外科
摘要：Congenital syndactyly is one of the most common congenital hand anomalies, and syndactyly release is one of the most common procedures in surgery of congenital hand diseases. The goal of syndactyly release is to create a web space close to normal in order to improve the appearance and function of the finger and incur the minimum number of long-term morbidity. This article reviews the domestic and foreign literatures published in recent years and summarizes the progress in the treatment of congenital syndactyly. ( 1 ) Operation timing of syndactyly release. Different choices for operation timing have been proposed according to the types of the congenital syndactyly and the surgical techniques applied. Technique for single-stage, more than 2-digit release has obvious advantages with preoperative delineation of the vascular anatomy of the hand. ( 2 ) Web space reconstruction is the most important stage in the surgical treatment of syndactyly, and several dorsal metacarpal flaps have been described for syndactyly correction in recent years. To evaluate and compare the results of different dorsal flap techniques, postoperative complications and web-space appearance have been taken into account. ( 3 ) Separation of the digits and defect covering. The use of skin grafts is time consuming, and a variety of dorsal flaps and other techniques have been used to avoid complications related to skin grafts. And it is very necessary to emphasize and control the indications in the application of these methods.
关键词：并指(趾)手畸形先天性皮肤移植综述
分类号：R682.1(骨科学（运动系疾病、矫形外科学）)R687(骨科学（运动系疾病、矫形外科学）)
论文发表日期：2017-01-01
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：4( 305-308 )
英文信息