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Related Experiment Videos

The first web hand flap.

M J Earley1

  • 1Welsh Regional Plastic Surgery Unit, Chepstow.

Journal of Hand Surgery (Edinburgh, Scotland)
|February 1, 1989
PubMed
Summary
This summary is machine-generated.

An island advancement flap from the first web offers a reliable option for treating moderate contractures and minor palmar skin loss. Cadaveric studies confirm consistent blood supply, ensuring flap viability in reconstructive surgery.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Anatomy

Background:

  • First web contractures can impair hand function.
  • Palmar skin loss requires effective reconstructive techniques.

Purpose of the Study:

  • To evaluate the efficacy of an island advancement flap for first web contractures and palmar burns.
  • To assess the vascularity of the first web for flap design.

Main Methods:

  • Cadaveric dissections to map vascular supply.
  • Surgical application of island advancement flaps in eight patients (six for contractures, two for burns).

Main Results:

  • Consistent blood supply to the first web dorsum was confirmed.
  • All eight flaps survived without loss.

Related Experiment Videos

  • Successful reconstruction of moderate first web contractures and minor palmar defects.

    • Conclusions:

    • The island advancement flap is a safe and effective option for moderate first web contractures.
    • This flap is suitable for resurfacing minor palmar skin defects.
    • The consistent vascularity of the first web supports its use in flap-based reconstruction.