[Application of low temperature thermoplastic plate combined with special abdominal band in fixing abdominal pedicled flap for repairing 17 patients with deep electric burn wounds in hands]

If the abdominal pedicled flaps are not well fixed after repair of deep electric burn wounds in hands, many problems such as poor blood supply may occur. In order to solve the above problems, we designed and manufactured the individualized low temperature thermoplastic plate combined with special abdominal band to fix abdominal pedicled flaps for repairing of 17 patients (12 males and 5 females, aged 2-35 years) with deep electric burn wounds in hands from February 2016 to August 2018, and achieved the desired results. The shoulder joint, elbow joint, and wrist joint were fixed by low temperature thermoplastic plate according to the 1/2 circumference of the patient's side chest and upper arm, and the braking of wrist joint and elbow joint was strengthened by special abdominal band. Application of the combined method of fixing abdominal pedicled flaps in repairing deep electric burn wounds in hands has high success rate of flap transplantation. It is simple to make and practical, and worthy of clinical promotion.腹部带蒂皮瓣修复手部深度电烧伤创面后若固定不佳，易出现血运不畅等诸多问题。为解决上述问题，笔者于2016年2月—2018年8月，自行设计、制作个体化低温热塑板结合特制腹带用于固定17例患者(男12例、女5例，年龄2～35岁)手部深度电烧伤创面的腹部带蒂皮瓣，达到预期效果。根据患者侧胸及上臂的1/2围径用低温热塑板设计、塑形，固定肩关节、肘关节、腕关节；再用特制腹带加固制动腕关节、肘关节。采用该联合方法固定修复手部深度电烧伤创面的腹部带蒂皮瓣，皮瓣移植手术的成功率高，且制作简单、实用性强，值得临床推广。.