Back to Search
Start Over
Flap coverage of dorsum of hand associated with extensor tendons injuries: A completely vascularized single-stage reconstruction.
- Source :
-
Microsurgery [Microsurgery] 2003; Vol. 23 (1), pp. 32-9. - Publication Year :
- 2003
-
Abstract
- This study reports results in 12 patients treated with "completely vascularized single-stage approaches," so defined because skin, tendon, and nerve are transferred as a compound flap, and all are vascularized. A free dorsalis pedis cutaneotendinous flap was used in 7 patients, while a radial forearm cutaneotendinous island flap was transposed in 5 patients. A dorsalis pedis flap provides four vascularized extensor tendons (extensor digitorum comunis tendons), and the radial artery flap permits the inclusion of one completely vascularized tendon (palmaris longus) and two "strips" of vascularized tendons (flexor carpi radialis and brachioradialis). The flaps survived in all cases, and the transferred tendons were functioning well. The dorsalis pedis flap can be employed in the reconstruction of cutaneotendinous defects of the dorsum of the hand which require the use of three or four tendons grafts. We suggest the use of forearm cutaneotendinous flaps in cases of reconstruction of one or two extensor tendons. The "completely vascularized single-stage reconstruction" avoids prolonged hospitalization and results in a rapid restoration of near-normal function and appearance of the hand.<br /> (Copyright 2003 Wiley-Liss, Inc.)
- Subjects :
- Adolescent
Adult
Follow-Up Studies
Graft Survival
Hand Injuries complications
Hand Injuries diagnosis
Humans
Injury Severity Score
Male
Microsurgery methods
Middle Aged
Prospective Studies
Regional Blood Flow
Risk Assessment
Sampling Studies
Tendon Injuries complications
Tendon Injuries diagnosis
Tissue and Organ Harvesting
Treatment Outcome
Wound Healing physiology
Hand Injuries surgery
Plastic Surgery Procedures methods
Surgical Flaps blood supply
Tendon Injuries surgery
Subjects
Details
- Language :
- English
- ISSN :
- 0738-1085
- Volume :
- 23
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Microsurgery
- Publication Type :
- Academic Journal
- Accession number :
- 12616517
- Full Text :
- https://doi.org/10.1002/micr.10086