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Dorsal Hand Reconstruction with Web Contracture Release Using Free Superficial Inferior Epigastric Artery Flap
Matoku Nomaguchi1, Yosuke Niimi1, Yuki Hasegawa1
1From the Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical University, Tokyo, Japan.
Plastic and Reconstructive Surgery. Global Open
|September 17, 2024
Summary
This study presents a novel surgical technique for hand reconstruction using a superficial inferior epigastric artery flap. The method effectively addresses dorsal defects and finger web space contractures in a single stage, improving hand function.
Area of Science:
- Plastic Surgery
- Hand Surgery
- Reconstructive Surgery
Background:
- Necrotizing soft tissue infections can cause extensive full-thickness skin defects on the hand.
- Hand and finger web space contractures significantly impair fine motor skills, aesthetics, and social reintegration.
Observation:
- A 57-year-old woman with a necrotizing soft tissue infection on her left hand required reconstruction of a full-thickness skin defect.
- The defect extended from the metacarpophalangeal joint to the wrist, exposing extensor tendons.
Findings:
- A superficial inferior epigastric artery flap was used for concurrent reconstruction of the hand dorsum and finger web spaces.
- This single-stage procedure successfully released scar contractures and created adequate interdigital space, preventing future contractures.
Implications:
- This surgical approach offers a valuable method for simultaneous closure of dorsal defects and interdigital reconstruction.
- The technique shortens treatment duration and improves functional and aesthetic outcomes for patients with severe hand injuries.
