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The management of web space contractures
Loree K Kalliainen1, Warren Schubert
1Department of Plastic and Hand Surgery, Regions Hospital, USA. loree.k.kalliainen@healthpartners.com
Clinics in Plastic Surgery
|September 6, 2005
Summary
Web space contractures can be treated with skin grafts or local/distant flaps. The thumb-index web space allows for diverse surgical techniques for reconstruction.
Area of Science:
- Plastic Surgery
- Hand Surgery
- Reconstructive Surgery
Background:
- Web space contractures limit hand function.
- Various surgical techniques are available for reconstruction.
Purpose of the Study:
- To review the anatomy of the web space.
- To discuss reconstructive options for web space contractures.
Main Methods:
- Literature review of surgical techniques.
- Anatomical review of the web space.
Main Results:
- Skin grafts, local flaps, and distant flaps are viable options.
- Local flaps are often preferred for finger web contractures.
- The thumb-index web space offers broader reconstructive choices.
Conclusions:
- Surgical reconstruction effectively addresses web space contractures.
- Technique selection depends on the specific web space and defect.
- Understanding web anatomy is crucial for successful outcomes.