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Related Experiment Videos

Three-square-flip-flap reconstruction for post burn syndactyly.

Oren Lapid1, Amiram Sagi

  • 1Department of Plastic and Reconstructive Surgery, Faculty of Health Sciences, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer Sheva, Israel. olapid@yahoo.com

British Journal of Plastic Surgery
|June 7, 2005
PubMed
Summary

The three-square-flip-flap technique offers a simple, reliable, and safe method for treating post-burn syndactyly (web space contractures) in the hands, yielding good functional and cosmetic outcomes.

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Area of Science:

  • Plastic Surgery
  • Hand Surgery
  • Burn Reconstruction

Background:

  • Hand burns can lead to debilitating web space contractures, known as post-burn syndactyly.
  • Syndactyly significantly impairs hand function and aesthetics.
  • Existing treatments may have limitations for minor syndactyly.

Purpose of the Study:

  • To evaluate the efficacy of the three-square-flip-flap technique for treating minor post-burn syndactyly.
  • To present surgical experience and outcomes using this specific flap design.
  • To assess the functional and cosmetic results of the procedure.

Main Methods:

  • The three-square-flip-flap technique involves dissecting contracted web tissues into three flaps.
  • These flaps are transposed 90 degrees on their base to reconstruct the web space.

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  • The procedure is followed by a structured splinting regimen to maintain results.

    • Main Results:

    • The surgical technique is straightforward and easy to execute.
    • The flap design facilitates good functional and cosmetic restoration of the web space.
    • No flap losses or significant complications were reported in this series.

    Conclusions:

    • The three-square-flip-flap is a simple, reliable, and safe surgical option for post-burn syndactyly.
    • This technique effectively addresses minor web space contractures.
    • The method demonstrates a low complication rate and positive patient outcomes.