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Journal of the Korean Society for Surgery of the Hand 2005;14(1):70-76.
Published online May 31, 2005.
Congenital Constriction Band Syndrome of Hand ; The Correction Under The Microscope
Ho Hwang, M.D., Yong Kyu Kim, M.D., Jong Ick Whang, M.D.*
선천성 수부 윤상 수축대 증후군에 대한 미세현미경을 이용한 수술적 교정
황호·김용규·황종익*
Abstract
  The Z-plasty has been known as a most common surgical treatment of congenital circumferential constriction band syndrome of the hand. There were thirteen patients of congenital circumferential constriction band syndrome of the hand.
  All patients underwent Z-plasty under microscope. we did microsurgical dissection to minimize vascular, neural and lymphatic injury, and then considering secondary correction and scar contracture, tried to preserve as much subcutaneous fat and skin flap as possible without any excision. There were less skin necrosis and lymphedema as a result of vascular compromise.
  Using microscope offers several advantages. First, preventing vascular, neural and lymphatic injury. Second, getting an accurate suture approximation. finally, preserving as much subcutaneous fat and skin flap as possible without any excision.
  The outcome of digit growth and contour can be excellent than we expected.
  As a results, we believe that correction of congenital circumferential constriction band syndrome of the hand under the microscope have better results.
Key Words: Congenital circumferential constriction band syndrome of hand, Z-plasty, Microsurgical dissection, Under the microscope, Without any excision
 
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