Transpositional Adipofascial Flaps for Complicated Acute Finger Injuries

以轉位脂肪筋膜皮瓣治療急性指部復雜性創傷

方璟文(Kein Boon Poon) ； 簡松雄(Song-Hsiung Chien) ； 林高田(Gau-Tyan Lin) ； 傅尹志(Yin-Chih Fu)

《The Kaohsiung Journal of Medical Sciences》 22卷3期 (2006/03) Pp. 114-119

摘要

我們成功的以轉位脂肪筋膜皮瓣治療七位急性指部復雜性創傷的病人。這是單一步驟的手術並且具有簡易及快速的優點。這皮瓣很薄且具備很好的伸展性並且提供指部軟組識缺損一個可塑性及可靠的覆蓋。最後我們是以全層皮膚植補在脂肪筋膜皮瓣的表面上。這手術可以讓病人的傷口提早癒合，提早讓指關節活動，減少傷口疼痛，降低疤痕的形成而且不需要讓病人再接受第二次手術。

關鍵字

脂肪筋膜皮瓣 ； 局部皮瓣 ； 手指創傷

並列摘要

Seven patients who presented with complicated acute finger injuries were treated successfully with local transpositional adipofascial flaps. This is a one-stage procedure with advantages of simplicity and rapidity. This flap is thin with good pliability and provides a very versatile and reliable covering for soft-tissue defects of the fingers. Full-thickness skin grafts were applied to the raw surface of the adipofascial flaps in all patients. All cases had excellent wound healing and restored full range of motion. This procedure facilitates early wound healing and early range of motion for finger joints; it also reduces wound pain, minimizes scar formation, and eliminates the need for second-stage surgery.

並列關鍵字

adipofascial flap ； local flap ； finger injuries