Jasim, H., Naji, S. (1970). Evaluation of the Plane Shaped Flap in Reconstruction of Congenital Hand Syndactyly. Alustath, 20(4), 319-326. doi: 10.52573/ipmj.1970.170475
Haider Abdulkareem Jasim; Sabah Hasan Naji. "Evaluation of the Plane Shaped Flap in Reconstruction of Congenital Hand Syndactyly". Alustath, 20, 4, 1970, 319-326. doi: 10.52573/ipmj.1970.170475
Jasim, H., Naji, S. (1970). 'Evaluation of the Plane Shaped Flap in Reconstruction of Congenital Hand Syndactyly', Alustath, 20(4), pp. 319-326. doi: 10.52573/ipmj.1970.170475
Jasim, H., Naji, S. Evaluation of the Plane Shaped Flap in Reconstruction of Congenital Hand Syndactyly. Alustath, 1970; 20(4): 319-326. doi: 10.52573/ipmj.1970.170475

Evaluation of the Plane Shaped Flap in Reconstruction of Congenital Hand Syndactyly

Iraqi Postgraduate Medical Journal
Article 3, Volume 20, Issue 4, October 2021, Pages 319-326    PDF (369.67 K)
Document Type: Research Paper
DOI: 10.52573/ipmj.1970.170475
Authors
Haider Abdulkareem Jasim1; Sabah Hasan Naji2
1AL-Wasity Teaching Hospital. Baghdad, Iraq
2Consultant Plastic Surgeon, AL-Wasity Teaching Hospital, Baghdad, Iraq
Abstract
ABSTRACT:
BACKGROUND:
Time consuming, scar contracture, web creeping is risks with reconstruction by skin graft.  dorsal metacarpal flaps minimize these complications however they still occur. This study is based on                    a plane-shaped advancement flap on the dorsum of the hand and a traction device for webspace to prevent contraction and creeping.
THE AIMS:
To evaluate the primary closure after releasing of tight syndactyly  and minimizing creeping and contracture of Webspace
PATIENTS AND METHODS:
From January 2018 to May 2019 ten patients (10 Webspaces), 3 females and 7 males, age ranged               (1-19) have congenital tight hand syndactyly (3 complexes, 5 simple incomplete,2 simple complete) .
RESULTS:
Average time of operation was 60 min  , primary closing of all incisions was done . one of the ten patients  had hypertrophic scar at donor site of the flap. furthermore , four patients had web creeping ,one of them had epidermal sloughing of the flap, the others  had creeping  .
CONCLUSION:
Dorsal advancement plane-shaped flap is helpful in reconstruction tight syndactyly However, it needs precise dissection . Some patient haven’t compliance with  traction devices so it isn’t corresponding for every patient
 
Keywords
Tight syndactyly; Plane shaped flap; Webspace creeping
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