Lateral Arm Free Flap Reconstruction in a Patient with Severe Burn Scar Contracture of the Bilateral First Web Space
Journal of Korean Burn Society
;
: 46-49, 2021.
Article
in English
| WPRIM
| ID: wpr-915318
ABSTRACT
An anatomically normal first web space is essential for optimal prehensile movements of the thumb and hand. A 28-year-old woman presented with severe scarring and contractures of the first web space of both hands, following a flame burn injury sustained 25 years prior to presentation. First web space contracture may occur secondary to severe injuries, burns (as observed in our patient), or congenital hand anomalies. A significant amount of additional skin is required to release a severe first web space contracture. Reconstruction of wide areas of contractures using only local flaps is challenging. Among other free flaps used in clinical practice, the thinned lateral arm free flap provides flexible vascularized tissue for reconstruction of the skin after severe first web space contracture release. Reconstruction using lateral arm free flaps facilitated thumb abduction and opposition (which were initially difficult) and improved hand function in our patient.
Full text:
Available
Index:
WPRIM (Western Pacific)
Language:
English
Journal:
Journal of Korean Burn Society
Year:
2021
Type:
Article
Similar
MEDLINE
...
LILACS
LIS