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Related Experiment Videos

Dorsocommissural flap.

P P Teŕan Saavedra1, B Zamora Parra, E Trillo Bohajar

  • 1Plastic Surgery Service, Hospital General Yagüe, Burgos, Spain.

British Journal of Plastic Surgery
|February 5, 2000
PubMed
Summary
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This study details a successful finger reconstruction for extensor tendon and skin damage. A novel retrograde flap technique restored function after mechanical injury.

Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Reconstructive Surgery

Background:

  • Mechanical injuries can cause significant damage to finger extensor mechanisms.
  • Dorsoradial skin loss and extensor tendon defects pose reconstructive challenges.

Observation:

  • A case involving dorsoradial skin loss over the middle phalanx of the middle finger with central slip extensor tendon section and lateral band loss was observed.
  • The injury resulted from a mechanical trauma.

Findings:

  • Primary reconstruction of the central slip was achieved using a retrograde flap technique.
  • The reconstruction involved a retrograde flap from the extensor tendon, secured with barb-wire over a padded button, K-wire splinting for 2 weeks, and skin coverage via a dorsocommissural flap.

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Implications:

  • This retrograde flap technique offers a viable option for complex extensor tendon and skin defects in the finger.
  • The study highlights the importance of considering innovative reconstructive methods for hand trauma.
  • Further discussion on alternative reconstructive strategies is provided.