The role of pedicled abdominal flaps in hand and forearm composite tissue injuries: Results of technical refinements for safe harvest

被引：16

作者：

Acharya, A. M. ^{[1
]}

Ravikiran, N. ^{[2
]}

Jayakrishnan, K. N. ^{[1
]}

Bhat, Anil K. ^{[1
]}

机构：

[1] Manipal Acad Higher Educ, Unit Hand & Microsurg, Dept Orthopaed, Kasturba Med Coll Hosp, Manipal, Karnataka, India

[2] All India Inst Med Sci, Dept Plast Surg, New Delhi, India

来源：

JOURNAL OF ORTHOPAEDICS | 2019年 / 16卷 / 04期

关键词：

Groin flap; Abdominal flap; Pedicle flap; GROIN FLAP; RECONSTRUCTION; SURGERY; DEFECTS;

D O I：

10.1016/j.jor.2019.04.008

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

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.

引用

页码：369 / 376

页数：8

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