You are here

Home » Content

BASİT İNKOMPLET SİNDAKTİLİNİN VEB FLEBİ İLE TEDAVİSİ: GREFTSİZ BİR YÖNTEM

Journal Name:

  • Cerrahpaşa Tıp Dergisi

Publication Year:

  • 2003

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
In this clinical study, incomplete simple syndactyly that has sufficient distal web tissue was repaired without skin graft by a web flap on a subcutaneous tissue pedicle. The distally localized web flap was raised on its subcutaneous tissue pedicle and transferred proximally to form new web comissure while the syndactylous fingers were released by dorsal and volar longitudinal incisions. Raw surfaces on the fingers were primarily closed using unequal angled Z-plasties. Eighteen incomplete simple syndactylies on 15 hands (9 right hand, 6 left hand) of 13 male patients aging 20 to 22 years old were treated by the described method. The postoperative follow-up period ranged between 2 to 15 months (mean 8 months). Results.- Partial or full-thickness necroses were observed in two flaps that were raised from distal interphalangeal joint level. Aesthetic and functional results similar to normal web were achieved in the other cases. Main advantages of the method are; there is no problem inherent to skin grafts, the new web comissure is formed by a flap with similar quality, there is no incision on the distal edge of the created web, the raw surfaces of the fingers are lengthened and closed primarily by Z-plasties, and there is no flap donor site morbidity. Conclusion.- We conclude that the described method could effectively be used in the treatment of selected incomplete simple syndactyly cases.
Bookmark/Search this post with
Abstract (Original Language): 
Bu klinik çalışmada, distalde yeterli veb dokusunun bulunduğu basit inkomplet sindaktili deformitesi subkütan pediküllü veb flebi ile deri grefti kullanılmaksızın tedavi edildi. Bitişik parmaklar dorsal ve volar tarafta yapılan longitudinal insizyonlarla açılırken, distaldeki veb flebi subkütan pedikülü üzerinde kaldırıldı ve yeni veb komissürünü oluşturmak üzere proksimale taşındı. Parmakların yan yüzleri eşit açılı olmayan Z-plastilerle primer kapatıldı. Bu yöntemle yaşları 20-22 arasında değişen, 13 erkek hastanın 15 elinde (9 sağ el, 6 sol el), 18 basit inkomplet sindaktili deformitesi tedavi edildi. Ameliyat sonrası izleme süresi 2-15 ay arasında (ortalama 8 ay) değişti. Distal interfalangeal eklem seviyesinden kaldırılan iki flepte kısmi veya tam nekroz gözlendi. Diğer olgularda normal eldeki veb yapısına benzer estetik ve fonksiyonel sonuçlar elde edildi. Deri greftine özgü dezavantajların olmaması, komissürün aynı kalitede bir fleple oluşturulması, oluşturulan vebin distal kenarında insizyon hattı bulunmamas ı, parmak yan yüzlerinin Z-plastilerle uzatılarak primer kapatılması ve flep donör alan morbiditesi bulunmaması yöntemin başlı- ca avantajlarıdır. Sonuç olarak, tanımlanan yöntemin seçilmiş basit inkomplet sindaktili olgularında kullanılabileceği kanaatindeyiz.
FULL TEXT (PDF): 
PDF icon arastirmax-basit-inkomplet-sindaktilinin-veb-flebi-ile-tedavisi-greftsiz-bir-yontem.pdf
  • 1
19-23
  • Turkish

REFERENCES

References: 

1. Ezaki M, Syndactyly. Green’s operative hand surgery. In:
Green DP, Hotchkiss RN, Pederson WC (eds);
Philadelphia; Churchill Livingstone 1999; 414-429.
Ocak-Mart 2003 SİNDAKTİLİ ONARIMINDA VEB FLEBİ; AÇIKEL VE ARK.
23
2. Jones NF, Upton J. Early release of syndactyly within six
weeks of birth. Orthopedic Transactions 1992; 17: 360-
362.
3. Raus EE. Repair of simple syndactylism in the healthy
neo-newborn. Orthop Rev 1984; 13: 498-501.
4. Vickers D, Donnelly W. Corrective surgery of syndactyly
without the use of skin grafts. Hand Surgery 1996; 1:
203-206.
5. Ekerot L. Correction of syndactyly: advantages with a
non-grafting technique and the use of absorbable skin
sutures. Scand J Plast Reconstr Surg Hand Surg 1999; 33:
427-431.
6. Withey SJ, Kangesu T, Carver N, Sommerlad BC. The
open finger technique for the release of syndactyly. J
Hand Surg [Br] 2001; 26: 4-7.
7. Gudushauri OH, Tvaliashvili LA. Local epidermoplasty
for syndactyly. Int Orthop 1991; 15: 39-43.
8. Işõk S, Selmanpakoğlu N, Açõkel C. The use of tissue
expanders in syndactyly repair. Eur J Plast Surg 1996; 19;
225-228.
9. Ishikura N, Heshiki T, Kimura T, Tsukada S. Repair of
complete syndactyly by tissue expansion and composite
grafts. Br J Plast Surg 1995; 48: 396-400.
10. Savaci N, Hosnuter M, Tosun Z. Use of reverse triangular
V-Y flaps to create a web space in syndactyly. Ann Plast
Surg 1999; 42: 540-544.
11. Sherif MM. V-Y dorsal metacarpal flap: a new technique
for the correction of syndactyly without skin graft. Plast
Reconstr Surg 1998; 101: 1861-1866.
12. Peker F, Tezel E. Sindaktili onarõmõnda dorsal
metakarpal arter pediküllü flepler. Türk Plast Rekonstr
Est Cer Derg 2001; 9: 19-23.
13. Yao JM, Shong JL, Sun H, et al. Repair of incomplete
simple syndactyly by a web flap on a subcutaneous tissue
pedicle. Plast Reconstr Surg 1997; 99: 2079-2081.
14. Smith P, Laing H. Congenital hand deformity. Plastic
maxillofacial and reconstructive surgery. In: Georgiade
GS, Riefkohl R, Levin LS (eds); Baltimore; Williams and
Wilkins 1997; 978-991.

Thank you for copying data from http://www.arastirmax.com