MANAGEMENT OF FIRST WEB SPACE CONTRACTURES WITH BILOBED FLAPS

Year 2017, Volume: 80 Issue: 4, 131 - 137, 20.12.2017

Hasan Utkan Aydın , Ömer Berköz Atakan Aydın , Türker Özkan

https://doi.org/10.18017/iuitfd.346274

Abstract

Objective: First web space is very
important for overall hand function. One of the methods frequently utilized to
manage contractures in this area are skin transposition flaps harvested from
dorsal radial aspect of the index finger. In this study, we present our results
with bilobed flap modification of the dorsoradial transposition flap we
designed to facilitate the transposition of the flap and to minimize the
contour deformity at the donor site.

Materials and Methods: A retrospective
chart review was made to gather information on eight cases operated using this
modification

Results: Satisfactory results were achieved
and no serious complications were observed in our series consisting of eight
patients (10 hands in total) with an average follow-up of 15.3 months.

Conclusion: Modification of dorsoradial
transposition flap in a bilobed fashion safely minimizes problems related to
donor site and at the same time facilitates transposition of the flap.

Keywords

Contracture; pedicled flap; adducted thumbs syndrome

BİRİNCİ PARMAK ARALIĞI KONTRAKTÜRLERİNİN BİLOBE FLEPLER İLE TEDAVİSİ

Abstract

Amaç: Birinci parmak aralığı (web) bölgesi
el işlevleri açısından büyük önem taşır. Bu bölgedeki kontraktürlerin
giderilmesi için en sık kullanılan yöntemlerden biri işaret parmağı dorsalinden
çevrilen transpozisyon flebidir. Bu çalışmada, dorsoradyal rotasyon flebinin
verici alanında ortaya çıkan kontür deformitesini gidermek ve flebin
transpozisyonunu kolaylaştırmak için kullandığımız bilobe flep yöntemine ait
sonuçları ortaya koymayı amaçladık.

Gereç ve Yöntem: Bu yöntem kullanılarak
birinci parmak aralığı kontraktürü açılmış sekiz hastaya ait tedavi ve takip
bilgileri retrospektif olarak incelendi.

Bulgular: Bu yöntemin uygulandığı sekiz
hastalık (toplam on el) serimizde ortalama takip süresi 15,3 aydı. Olguların
takiplerinde önemli bir komplikasyon görülmedi ve yeterli birinci parmak
aralığı açıklığı elde edilebildi.

Sonuç: Dorsoradyal transpozisyon flebinin
bilobe olarak modifiye edilmesi bu fleple ilgili verici saha sorunlarını güvenli
bir biçimde azaltmakta ve flebin daha rahat transpoze edilmesine olanak
vermektedir. 

Keywords

Kontraktürler; pediküllü flep; kenetlenmiş başparmak sendromu

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