The role of pedicled abdominal flaps in hand and forearm composite tissue injuries: Results of technical refinements for safe harvest
| Autor: | K.N. Jayakrishnan, Anil K. Bhat, Ashwath M. Acharya, N. Ravikiran |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty business.industry Hand therapy 030229 sport sciences Article Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Abdominal flaps Dash questionnaire Forearm Orthopedic surgery medicine Dash score Upper limb book.journal Orthopedics and Sports Medicine Composite tissue business book |
| Zdroj: | J Orthop |
| ISSN: | 0972-978X |
| Popis: | We evaluated the outcome of new technical refinements in abdominal flap coverage of major defects in upper limb for its reliability and safety. 68 patients were assessed for indications, additional procedures, complications and DASH questionnaire evaluation at the end of a year. The mean size of flap was 56 cm(2) (range 6–250 cm(2)). Median DASH score was 11.5 (range: 0–63). Hand stiffness was observed in 39% of patients. However, this was absent in whom prophylactic pinning of metacarpophalangeal joints were done in James position. Abdominal flaps give satisfactory results in hand injuries. Competent hand therapy program is essential to get best results. |
| Databáze: | OpenAIRE |
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