目的:探讨应用带指动脉的指侧方皮瓣治疗小儿烧烫伤指掌侧皮肤瘢痕挛缩的疗效。方法:对21例43指指掌侧及9指指根部掌侧皮肤烧烫伤瘢痕挛缩,行指掌侧挛缩组织松解后,按其皮肤缺损面积与形状设计指侧方皮瓣,皮瓣内携带指动脉,皮瓣移位至指掌侧覆盖创面。结果:皮瓣全部成活。术后随访1年以上,无再度发生挛缩畸形。结论:带指动脉的指侧方皮瓣可确保皮瓣血运,适于治疗小儿烧烫伤指掌侧皮肤瘢痕挛缩。 Objective: To investigate the curative effect of application of the finger lateral flaps with finger arteries on the scar contracture of the skin on the palm side of the scalp. Methods: Twenty-two cases of scar contracture of the skin of scalp and skin of burns on the palms of the fingers of the 43 fingers and the fingers of 9 fingers were made. The lateral flaps were designed according to the area and shape of the skin defect. With the finger artery, the flap is displaced to the palmar side covering the wound. Results: Flaps all survived. Follow-up more than 1 year, no recurrence of contracture deformity. Conclusion: The lateral flap with the finger artery can ensure the blood supply of the flap, which is suitable for treating the scar contracture in the palm side of the palm.