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Related Experiment Videos

Dancing girl flap: a new flap suitable for web release.

K Shinya1

  • 1Plastic Surgery Department, Kobe City General Hospital, Japan.

Annals of Plastic Surgery
|December 22, 1999
PubMed
Summary

The new dancing girl flap creates a deep, U-shaped surface by elongating in one direction and shortening at a right angle. This surgical technique effectively releases severe scar contractures and treats syndactyly.

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Area of Science:

  • Plastic Surgery
  • Hand Surgery
  • Reconstructive Surgery

Background:

  • Creating a deep web requires a flap with directional elongation and shortening properties.
  • Z-plasty is a common technique for scar revision and web release.

Observation:

  • A modification of the four-flap Z-plasty, termed the dancing girl flap, was developed.
  • This flap incorporates two additional Z-plasties to achieve specific geometric effects.

Findings:

  • The dancing girl flap exhibits significant elongation (>550%) along one axis.
  • It demonstrates a shortening effect (<33%) in the perpendicular direction, forming a U-shaped surface.
  • This flap is highly effective for releasing scar contractures and treating syndactyly up to the proximal interphalangeal joint.

Implications:

  • The dancing girl flap offers a novel solution for complex web contractures in hand surgery.
  • It provides improved functional and aesthetic outcomes for patients with syndactyly.
  • This technique expands the reconstructive options for severe scar contractures.

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