Chinese Journal of Microsurgery 2010;33(2):110-111

doi:10.3760/cma.j.issn.1001-2036.2010.02.009

The coverage of contracture of the first web space by flaps

Laijin LU ; Xu GONG ; Xin YU ; Jianli CUI ; Xiguang SUN ; Ruijun LI ; Lu LU

Keywords

Contracture of the first web space; Flap; Posterior interosseous artery

Country

China

Language

Chinese

Abstract

Objective To introduce our experiences of reconstruct the first web space using flaps.Methods One hundred and twelve patients sustained contracture of the first, summarized the indications of different flaps in coverage of the first webspace and their prognosis of these flaps were retrospectively reviewed.Results The local flaps, such as double Z-plasty or Z-plasty, were suitable to cover minor contracture of the first webspace; the dorsal flap arising from the index finger was suitable for the coverage of the medium contracture, and the posterior interosseous artery flap or the reverse antebrachial island flap based on the dorsal branch of the anterior interosseous artery suitable for the severe cases. Conclusion The usage of flaps is important to resume the cosmetic shape and function of the first webspace after release of the contracture of the first webspace.