The distally based posterior interosseous fasciocutaneous island flap in reconstruction of the hand in leprosy.
Indian J Lepr
;
1997 Jan-Mar; 69(1): 93-100
Article
in English
| IMSEAR
| ID: sea-55295
ABSTRACT
In leprosy a functionally useless hand can be the sequelae of resorption of the sensation-impaired thumb and fingers resulting from repeated trauma and infection. When this process shortens the thumb to the level of the proximal phalanx or metacarpal, the effect is to produce a relatively shallow first web space which together with the shortening, can prevent the most basic hand manoeuvre of a pincer or pinch grip. The reconstructive procedure commonly used in this situation is to widen and deepen the web space with a z-plasty combined with excision of the second metacarpal but the result can be inadequate. We have used the posterior interosseous fasciocutaneous island flap, both as a simple and a compound flap, to solve this challenging problem and we report here our experience with four patients.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Surgical Flaps
/
Thumb
/
Aged
/
Female
/
Humans
/
Male
/
Hand Deformities, Acquired
/
Adult
/
Leprosy
/
Middle Aged
Language:
English
Journal:
Indian J Lepr
Journal subject:
Tropical Medicine
Year:
1997
Type:
Article
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