MANAGEMENT OF FIRST WEB SPACE CONTRACTURES WITH BILOBED FLAPS

Abstract

Objective: First web space is very important for overall hand function. One of the methods frequently utilized to manage contractures in this area are skin transposition flaps harvested from dorsal radial aspect of the index finger. In this study, we present our results with bilobed flap modification of the dorsoradial transposition flap we designed to facilitate the transposition of the flap and to minimize the contour deformity at the donor site.

Materials and Methods: A retrospective chart review was made to gather information on eight cases operated using this modification

Results: Satisfactory results were achieved and no serious complications were observed in our series consisting of eight patients (10 hands in total) with an average follow-up of 15.3 months.

Conclusion: Modification of dorsoradial transposition flap in a bilobed fashion safely minimizes problems related to donor site and at the same time facilitates transposition of the flap.

Keywords

• Contracture; pedicled flap; adducted thumbs syndrome

BİRİNCİ PARMAK ARALIĞI KONTRAKTÜRLERİNİN BİLOBE FLEPLER İLE TEDAVİSİ

Abstract

Amaç: Birinci parmak aralığı (web) bölgesi el işlevleri açısından büyük önem taşır. Bu bölgedeki kontraktürlerin giderilmesi için en sık kullanılan yöntemlerden biri işaret parmağı dorsalinden çevrilen transpozisyon flebidir. Bu çalışmada, dorsoradyal rotasyon flebinin verici alanında ortaya çıkan kontür deformitesini gidermek ve flebin transpozisyonunu kolaylaştırmak için kullandığımız bilobe flep yöntemine ait sonuçları ortaya koymayı amaçladık.

Gereç ve Yöntem: Bu yöntem kullanılarak birinci parmak aralığı kontraktürü açılmış sekiz hastaya ait tedavi ve takip bilgileri retrospektif olarak incelendi.

Bulgular: Bu yöntemin uygulandığı sekiz hastalık (toplam on el) serimizde ortalama takip süresi 15,3 aydı. Olguların takiplerinde önemli bir komplikasyon görülmedi ve yeterli birinci parmak aralığı açıklığı elde edilebildi.

Sonuç: Dorsoradyal transpozisyon flebinin bilobe olarak modifiye edilmesi bu fleple ilgili verici saha sorunlarını güvenli bir biçimde azaltmakta ve flebin daha rahat transpoze edilmesine olanak vermektedir. 

Keywords

• Kontraktürler; pediküllü flep; kenetlenmiş başparmak sendromu

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