運用矽片於複合型併指症分離之新構想

A New Idea in Application of Silastic Sheet for the Separation of Complex Syndactyly

蔣百聰(Bay-Chung Chiang) ； 印志弘(Jyh-Horng Yinn) ； 陳錦時(Jin-Shyr Chen)

《中華民國重建整形外科醫學會雜誌》 3卷1期 (1994/03) Pp. 32-36

https://doi.org/10.7096/JPRSA.199403.0032

摘要

複合型（含骨骼黏連）之併指症，常見於遠端指骨骨骼黏連，少見於中段及近端指骨皆黏連者。在分離中段及近端指骨骨骼黏連之併指症時，處理骨骼暴露範圍過大，加上無法以全層皮膚移植覆蓋傷口時，可運用矽片來解除此一窘境。因矽片之表面特性，會引發人體產生一層纖維組織，利於皮膚移植之成功。暫時置放矽片於隔離後之骨骼間，六個月後，成功地分離此複合型之併指症且全層皮膚移植良好。

關鍵字

矽片 ； 併指症 ； 全層皮膚移植

並列摘要

Complex syndactyly is generally defined as abnormal digital interconnection by bone. This report is based on the transverse synostosis of the proximal and middle phalanges between the right middle and ring fingers.
The use of silicone in the practice of medicine has become widespread. The specific biological surface property of silicone (poly-dim ethyl siloxane) elastomer causes the formation of layers of the pseudocapsule fibrous tissue to surround it. The pseudocapsule fibrous tissue helps the skin grafts ”take” smoothly.
The new idea is to implant a silastic sheet (silicone elastomer) temporarily between the synostotic bones of complex syndactyly for producing layers of the pseudocapsule fibrous tissue to help the FTSG ”take” well in later months. It lets the procedure of the separation of complex syndactyly become easily and smoothly.

並列關鍵字

silastic sheath ； syndactyly ； full thickness skin graft