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The Manta Ray flap: a technique for first web space release.

Christopher J Coombs¹, Damon J Thomas

¹Department of Plastic and Maxillofacial Surgery, Melbourne Paediatric Hand Centre, Royal Children's Hospital, Melbourne, Victoria, Australia. chris@southernplasticsurgery.com.au

Techniques in Hand & Upper Extremity Surgery

|March 11, 2010

Summary

Releasing first web space contractures improves hand grasp. A novel local flap technique uses adjacent digit skin for effective resurfacing of moderate contractures.

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Area of Science:

Hand surgery
Plastic surgery
Orthopedic surgery

Background:

First web space adduction contracture impairs hand function and grasp.
Various surgical techniques exist for releasing these contractures.

Purpose of the Study:

To describe a novel local flap technique for resurfacing moderate first web space contractures.
To evaluate the efficacy of this technique in restoring hand function.

Main Methods:

A local flap technique utilizing first web space skin.
Incorporation of adjacent digit skin for resurfacing.
Application in cases of moderate first web space contractures.

Main Results:

The technique provides well-vascularized, pliable, and sensate skin coverage.
Successful release and coverage of moderate first web space contractures were achieved.
Improved hand function and grasp are anticipated.

Conclusions:

This local flap technique offers an effective solution for moderate first web space contractures.
The use of adjacent digit skin ensures excellent graft quality.
The method contributes to restoring normal hand function.