RESUMO
Simultaneous tendon transfer and dermofat graft augmentation of the first web space of the hand with intrinsic paralysis is described. Fifty per cent over-correction of the web space volume is recommended in anticipation of postoperative graft resorption. Other techniques of fat auto-transplantation are discussed.
Assuntos
Humanos , Mãos/anatomia & histologia , Mãos/cirurgia , Mãos/inervação , Transferência Tendinosa , Transferência Tendinosa/instrumentação , Transferência Tendinosa/métodos , Transferência Tendinosa/reabilitação , Transferência Tendinosa/tendênciasRESUMO
From 1977 to 1988, 166 patients with median nerve paralysis of varied aetiology underwent opponensplasty. In 50 of these the extensor indicis was used, and in 116 the flexor digitorum superficialis of the ring finger. An analysis of these hands showed that the EI opponensplasty was best in supple hands and FDS opponensplasty was more suitable for less pliable hands. There were fewer complications seen after FDS opponensplasty if the detachment of the donor tendon was done through a volar oblique incision rather than the conventional lateral incision.