Correction of first web space deficiency in congenital deformities of the hand with the pseudokite flap |
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Authors: | Foucher G Medina J Navarro And R Khouri R K |
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Institution: | SOS Main Strasbourg, H?pital de Hautepierre, Université de Strasbourg, Universidad de Las Palmas de Gran Canaria, Strasbourg, France. ifssh@aol.com |
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Abstract: | The authors describe a new flap to enlarge or create a first web in patients with congenital deficiencies of the hand. This lozenge-shaped flap is harvested from the dorsoradial aspect of the index finger based on a narrow proximal skin bridge protecting its axial vascularization. A dorsal skin graft of the donor site is avoided by closure using a rhomboid flap. Procedures in 16 patients were performed and reviewed; the only complication was insertion of a small split-thickness graft in five patients to avoid tension at the metacarpophalangeal joint level. The flap lengthened the web fold an average of 3.2 cm without "pseudolengthening" the thumb. |
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