Correction of first web space deficiency in congenital deformities of the hand with the pseudokite flap

Plastic and Reconstructive Surgery
G FoucherR K Khouri

Abstract

The authors describe a new flap to enlarge or create a first web in patients with congenital deficiencies of the hand. This lozenge-shaped flap is harvested from the dorsoradial aspect of the index finger based on a narrow proximal skin bridge protecting its axial vascularization. A dorsal skin graft of the donor site is avoided by closure using a rhomboid flap. Procedures in 16 patients were performed and reviewed; the only complication was insertion of a small split-thickness graft in five patients to avoid tension at the metacarpophalangeal joint level. The flap lengthened the web fold an average of 3.2 cm without "pseudolengthening" the thumb.

References

Mar 1, 1979·Plastic and Reconstructive Surgery·G Foucher, J B Braun
Jul 1, 1991·The Journal of Hand Surgery·G Lister
Jan 1, 1972·Plastic and Reconstructive Surgery·R M Woolf, T R Broadbent
Jul 1, 1972·British Journal of Plastic Surgery·G D Lister, T Gibson
Mar 1, 1970·Plastic and Reconstructive Surgery·A E Flatt, V E Wood
Oct 1, 1969·Plastic and Reconstructive Surgery·M Spinner
Mar 1, 1995·The Journal of Hand Surgery·P R ManskeM James
Nov 1, 1994·The Journal of Hand Surgery·C J Coombs, K L Mutimer

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Citations

Mar 11, 2010·Techniques in Hand & Upper Extremity Surgery·Marybeth Ezaki, Scott N Oishi
Sep 6, 2005·Clinics in Plastic Surgery·Loree K Kalliainen, Warren Schubert
Sep 19, 2018·The Journal of Hand Surgery, European Volume·Steven E R HoviusChristianne A van Nieuwenhoven
Mar 7, 2006·Techniques in Hand & Upper Extremity Surgery·Steven E R HoviusThijs de Wit
Jun 8, 2006·The Journal of the American Academy of Orthopaedic Surgeons·Shian-Chao TayWilliam P Cooney
Apr 14, 2006·Chirurgie de la main·G Dautel

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