Digital artery perforator flap transfer for volar soft tissue defect due to dissociation from joint contracture in camptodactyly
Autor: | Yusuke Sogabe, Akira Kawabata, Kiyohito Takamatsu, Yukiko Morimoto |
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Rok vydání: | 2021 |
Předmět: |
Interphalangeal joints of the hand
medicine.medical_specialty Contracture Perforator lcsh:Surgery Case Report Dissection (medical) 030230 surgery Camptodactyly 03 medical and health sciences 0302 clinical medicine medicine Joint Contracture Flexion contracture Digital artery business.industry Soft tissue lcsh:RD1-811 medicine.disease Flap Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis medicine.symptom Interphalangeal Joint business |
Zdroj: | JPRAS Open, Vol 27, Iss, Pp 48-52 (2021) JPRAS Open |
ISSN: | 2352-5878 |
Popis: | Summary: Camptodactyly is a condition defined by persistent flexion contracture of the proximal interphalangeal joints of the hand. Surgical treatment requires flaps for the dissection of the skin and the resulting soft tissue defect, soft tissue release, and sometimes reconstruction of the extension mechanism. Z-plasty and transposition flap have been reported as methods used in soft tissue defects. In this case, covering the defects of the digits was necessary for keeping the wound clean; thus, we should select a surgical method that facilitates stable and reliable blood flow of the flap. The digital artery perforator flap is pedicled and its transfer does not require the dissection of neurovascular bundles; therefore, it can be used safety and relatively easily. We considered the digital artery perforator flap to be a useful technique in terms of securing stable and reliable blood flow and not twisting the skin. Thus, we performed a digital artery perforator flap transfer for a volar soft tissue defect due to dissociation from proximal interphalangeal joint contracture in camptodactyly. |
Databáze: | OpenAIRE |
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