MANAGEMENT OF BURN CONTRACTURES OF THE 1ST WEB SPACE OF THE HAND

被引：9

作者：

BHATTACHARYA, S ^{[1
]}

BHATNAGAR, SK ^{[1
]}

PANDEY, SD ^{[1
]}

CHANDRA, R ^{[1
]}

机构：

[1] KING GEORGE V MEM HOSP,POSTGRAD DEPT PLAST & RECONSTRUCT SURG,LUCKNOW 226003,UTTAR PRADESH,INDIA

来源：

BURNS | 1992年 / 18卷 / 01期

关键词：

D O I：

10.1016/0305-4179(92)90122-B

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

First web space contractures of the hand affect predominantly the movements at the trapeziometacarpal joint, rendering the thumb ineffective for opposition and thereby destroying the essential elements of grasp and pinch. Adequate release of contractured first web space followed by a local skin flap cover and dynamic abduction splintage for the subsequent 6 weeks gives excellent results. Documenting the first web angle at every follow-up visit can detect early recurrences and the dynamic splintage can be reinstituted to achieve the normal first web space. Secondary surgery in the form of flexor pollicis longus tendon lengthening or opponens-plasty helps to prevent recurrences.

引用

页码：54 / 57

页数：4

共 20 条

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