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Multi-digit contracture release using medial sural artery perforator flap with syndactylization-desyndactylization
1Plastic and Reconstructive Surgery Department, GATA Haydarpasa Training Hospital, Istanbul, Turkey.
Hippokratia
|October 6, 2016
Summary
The medial sural artery perforator flap (MSAPF) effectively reconstructs hand defects from burns. This technique fully released contractures and restored joint motion, offering a viable solution for complex soft tissue injuries.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Burn Reconstruction
Background:
- The medial sural artery perforator flap (MSAPF) offers a long pedicle for soft tissue defect reconstruction.
- It is particularly suitable for palmar region multi-digit contractures.
Observation:
- The study utilized MSAPFs with syndactylization and desyndactylization for postburn multi-digit volar contractures.
- Free MSAPFs were employed in two patients to reconstruct complex hand defects involving multiple digits after thermal burns.
Findings:
- Both MSAPFs healed without complications.
- Complete release of hand contractures and restoration of adequate joint motion were achieved in both patients after physiotherapy.
- The thin MSAPF allowed for accurate soft tissue reconstruction and reduced donor site morbidity.
Implications:
- The MSAPF is a valuable option for hand reconstruction in cases of soft tissue deficiency and tendon exposure.
- This flap technique demonstrates potential for improving functional outcomes in burn survivors with complex hand deformities.
- MSAPF offers a precise method for soft tissue restoration with minimal donor site complications.
