Abstract
ABSTRACT:
BACKGROUND:
Time consuming, scar contracture, web creeping is risks with reconstruction by skin graft. dorsal metacarpal flaps minimize these complications however they still occur. This study is based on a plane-shaped advancement flap on the dorsum of the hand and a traction device for webspace to prevent contraction and creeping.
THE AIMS:
To evaluate the primary closure after releasing of tight syndactyly and minimizing creeping and contracture of Webspace
PATIENTS AND METHODS:
From January 2018 to May 2019 ten patients (10 Webspaces), 3 females and 7 males, age ranged (1-19) have congenital tight hand syndactyly (3 complexes, 5 simple incomplete,2 simple complete) .
RESULTS:
Average time of operation was 60 min , primary closing of all incisions was done . one of the ten patients had hypertrophic scar at donor site of the flap. furthermore , four patients had web creeping ,one of them had epidermal sloughing of the flap, the others had creeping .
CONCLUSION:
Dorsal advancement plane-shaped flap is helpful in reconstruction tight syndactyly However, it needs precise dissection . Some patient haven’t compliance with traction devices so it isn’t corresponding for every patient
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