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Flap choices to treat complex severe postburn hand contracture.
Ersin Ulkür1, Fatih Uygur, Huseyin Karagöz
1Gulhane Military Medical Academy, Haydarpasa Training Hospital, Department of Plastic and Reconstructive Surgery, Istanbul, Turkey. eulkur@yahoo.com
Annals of Plastic Surgery
|April 25, 2007
Summary
This study highlights effective surgical techniques for severe postburn hand contractures using specific flaps. Treatments significantly improved joint extension and hand grasp function, offering hope for patients.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Burn Treatment
Background:
- Complex severe postburn hand contractures significantly impair hand function.
- Multiple surgical approaches are necessary for effective treatment.
- Flap selection is crucial for addressing diverse contracture types.
Purpose of the Study:
- To evaluate the efficacy of specific flap surgeries in treating complex severe postburn hand contractures.
- To assess improvements in joint mobility and hand function post-surgery.
- To determine the suitability of various flaps for different hand regions and contracture types.
Main Methods:
- Retrospective analysis of eight patients with complex severe postburn hand contractures treated between 2001 and 2005.
- Utilized dorsal ulnar flap for palmar region, cross-finger and side finger flaps for finger flexion contractures, and rhomboid flap for web contractures.
- Assessed joint extension improvements and functional grasp recovery.
Main Results:
- Significant improvements in joint extension were observed, with maximums of 75 degrees (metacarpophalangeal joint) and 105 degrees (proximal interphalangeal joint).
- Hand grasp function dramatically improved post-surgery.
- Flap bulk did not impede grasping function.
Conclusions:
- Dorsal ulnar flap, combined cross-finger/side finger transposition flaps, and rhomboid flap are effective for treating complex severe postburn hand contractures.
- These reconstructive techniques can sufficiently restore hand function and mobility.
- Surgical intervention with appropriate flap selection offers substantial functional recovery for patients with severe burn contractures.
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