Application of thenar perforator flaps for the narrow cicatricial contracture at thumb and the first web.
- Author:
Xiao ZHOU
;
Ya-Jun XU
;
Yong-Jun RUI
;
Yue-Feng BAO
- Publication Type:Journal Article
- MeSH: Arteries; Cicatrix; surgery; Contracture; surgery; Fingers; Humans; Perforator Flap; transplantation; Reconstructive Surgical Procedures; methods; Skin Transplantation; Thumb; surgery; Wound Healing
- From: Chinese Journal of Plastic Surgery 2013;29(3):181-183
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo discuss the therapeutic effect of thenar perforator flaps for the narrow cicatricial contracture at thumb and the first web.
METHODSFrom Aug. 2010 to Jan. 2012, 9 cases with narrow cicatricial contracture at thumb and the first web, were treated. The defect size after releasing the contracture ranged from 8 mm x 20 mm to 15 cm x 30 mm. The bilateral thenar perforator flaps beside the wound were designed which size was 10 mm x 25 mm to 15 mm x 35 mm. The wounds at donor sites were closed directly.
RESULTSAll the 9 flaps survived completely with primary healing. The patients were followed up for 6-18 months. The flaps had soft texture and good appearance. The shape of flaps and function of the fingers were satisfied after 6-18 months of follow-up. There was no scar contracture at incisions in thenar. The thumb motion was really normal. The abduction of first web was 70 degrees - 90 degrees degrees.
CONCLUSIONSThe thenar perforator flaps is one of the ideal methods for the treatment of narrow cicatricial contracture at thumb and the first web. The main artery is not sacrified.