Chronic postburn palmar contractures reconstruction using the medial pedis perforator flap

Annals of Plastic Surgery
Fatih UygurBahattin Ceiköz

Abstract

Chronic flexion contractures of the palm of the hand impair hand function considerably and cause a poor esthetic appearance. Various reconstructive methods have been used for the treatment. However, satisfactory esthetic and functional results are difficult to achieve due to the unique anatomic characteristics of the palmar region, such as thick, cornified, stratified squamous epithelium. In the present study, free medialis pedis flap was used in a number of patients who suffered from severe palmar flexion contractures due to burn injuries. Here, the experience, technique, and follow-up results are presented. Eleven patients admitting to our department with palmar flexion contracture were reconstructed with free medialis pedis flap from 2004 to 2007. All were men and ranged in age from 19 to 22 years old (average, 21 years). In all cases, different parts of palmar region were covered. In all cases except 2, arterial anastomosis was done to proper digital arteries. Although the concomitant vein and superficial vein were prepared in all cases, only superficial vein of flap was used for anastomosis. In one case, the donor site was closed primarily, the others were closed with skin graft. The transplanted flaps survived with satisf...Continue Reading

References

May 1, 1990·Plastic and Reconstructive Surgery·A C Masquelet, M C Romana
Aug 14, 1998·Plastic and Reconstructive Surgery·S F Jeng, F C Wei
Jan 5, 2002·Annals of Plastic Surgery·Feng-Chou TsaiFu-Chen Wei
Mar 9, 2002·Plastic and Reconstructive Surgery·Haluk DumanMustafa Sengezer
Jan 11, 2005·Burns : Journal of the International Society for Burn Injuries·Ersin UlkürBahattin Celiköz
May 12, 2007·Burns : Journal of the International Society for Burn Injuries·Fatih UygurBahattin Celiköz

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Citations

Jul 2, 2009·Plastic and Reconstructive Surgery·Fatih UygurHaluk Duman
Jun 30, 2011·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·S C Tucker
Sep 19, 2012·Burns : Journal of the International Society for Burn Injuries·Szu-Yen LinHui-Fen Mao
Oct 6, 2009·Hand Clinics·Yvonne L Karanas, Rudolf F Buntic
Apr 2, 2017·Hand Clinics·Mauricio De la GarzaMichael W Neumeister
Mar 12, 2019·Plastic Surgery·Ryan T LewinsonDuncan Nickerson

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