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First web-space reconstruction by the anterolateral thigh flap.

Roberto Adani1, Luigi Tarallo, Ignazio Marcoccio

  • 1Department of Orthopaedic Surgery, University of Modena and Reggio Emilia, Modena, Italy. adani.roberto@unimo.it

The Journal of Hand Surgery
|April 25, 2006
PubMed
Summary
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This study shows that the anterolateral thigh perforator flap is a reliable option for severe first web space contractures. This vascularized tissue effectively restores function and maintains web space opening post-surgery.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Microsurgery

Background:

  • Severe first web space contractures significantly impair hand function.
  • Previous treatments have limitations in restoring adequate web space mobility.

Purpose of the Study:

  • To evaluate the efficacy of the anterolateral thigh perforator flap in treating severe first web space contractures.
  • To assess the functional and aesthetic outcomes of this reconstructive technique.

Main Methods:

  • Four patients with severe first web space contractures underwent reconstruction using a thinned anterolateral thigh perforator flap.
  • Flap dimensions ranged from 10-13 cm in length and 7-8 cm in width.
  • Direct closure of the donor site and flap thinning were performed in all cases.

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Main Results:

  • All flaps survived without complications, necessitating no re-explorations.
  • Sustained web space opening was observed throughout the follow-up period.
  • An average increase of 61 degrees in the first web space angle was achieved postoperatively.

Conclusions:

  • The thinned anterolateral thigh perforator flap is a pliable, vascularized tissue suitable for resurfacing after contracture release.
  • This flap offers a reliable and effective alternative for managing severe first web space contractures.