| 摘要 |
FIELD: medicine.SUBSTANCE: invention refers to medicine, namely reconstructive hand surgery. An adipocutaneous coverage flap is presented by a double adipocutaneous flap. After the first metacarpal bone is formed, it is placed into the double flap in the adduction position. After consolidation of the bone fragments, a thumb and first web space are formed by cutting out leaved flaps on the back of the hand with their base on the first metacarpal bone, and on the palmar surface of the hand with their base on the second metacarpal bone. Opposite U-flaps with a proximal base on the back and palm of the hand are formed within an expected first web space; the repaired first metacarpal bone is abducted; the tissue defects on the first and second metacarpal bones are closed by means of the leaved flaps. A bottom of the first web space is creased by suturing apexes of the U-flaps. To close the wounds in the areas where the U-flaps have been taken, the leaved flaps are sutured to lateral sides of the U-flaps within the web space.EFFECT: method reduces the stages and length of treatment, minimises a donor defect formed during the hand repair and formation of the thumb and appropriate first web space.4 dwg, 1 ex |
