Résumé
The distal pedicled dorsal metacarpal flap based on a retrograde bloody supply harvested from the dorsum of the hand, its vascularisation is provided by proximal dorsal cutaneous branches of the digital collateral arteries through the rich anastomotic arterial network of the web space. This flap is useful in reconstructing defects on the dorsal and palmed aspect of the digits. The authors present 30 clinical cases to describe the anatomical basis, the operatory techniques, the advantages and inconvenients of this new flap
Sujets)
Humains , Mâle , Femelle , Doigts/chirurgie , Lambeaux chirurgicaux , Main/chirurgie , Études rétrospectivesRésumé
The authors report the study of 50 hemophiliacs. They are mainly interested in the joint involvement [acute hemarthrosis and chronic arthropathy] and in functional disturbance. The recurrence of acute hemarthrosis has been observed in 48 patients [96%]. Chronic arthropathy is constantly reported in patients starting from the age of eight years old. The arthropathy was more frequent and more important in the severe hemophilia The joints which are most often affected are the knees, elbows and ankles. Functional disturbance is obvious: 42 patients are motor handicaped [84%]