Modified Dorsal Rotation Advancement Flap for Release of the Thumb Web Space

2006 ◽  
Vol 31 (2) ◽  
pp. 226-229 ◽  
Author(s):  
H. ABDEL GHANI
Keyword(s):  
Advancement Flap ◽  
Local Flap ◽  
Thumb Hypoplasia ◽  
Web Space ◽  
Palmar Skin ◽  
Rotation Advancement ◽  
The Web

The dorsal rotational advancement flap described by Buck-Gramcko in 1998 is a good local flap for release of the thumb index web space. This paper describes a modification which broadens the apex of the flap and increases its length. This modification provides a long wide flap which releases the thumb index web space with suture lines far beyond the web. In addition, it provides a release of the palmar skin even when very tight in severe narrowing of the web. It is suitable for release of thumb–index syndactyly, severe narrowing of the web in thumb hypoplasia and congenital clasped thumb.

Syndactyly correction: an aesthetic reconstruction

2010 ◽  
Vol 35 (6) ◽  
pp. 446-450 ◽  
Author(s):  
R. M. Jose ◽  
N. Timoney ◽  
R. Vidyadharan ◽  
R. Lester
Keyword(s):  
Surgical Procedures ◽  
Retrospective Review ◽  
Skin Grafts ◽  
Full Thickness ◽  
Full Thickness Skin ◽  
Thickness Skin ◽  
Web Space ◽  
Palmar Skin ◽  
The Web

Various flaps have been used with and without skin grafts to separate digits with syndactyly. Dorsal flap techniques with and without grafts result in dorsal and thus more visible scars. Some of the recent techniques which use no grafts are only applicable for some simple syndactylies. The technique described in this paper uses a combination of techniques which have been described previously. A shaped palmar flap is used to create the web space; narrow V-flaps and full-thickness skin grafts are used to resurface the lateral defects on the fingers and reciprocal pulp flaps are used to create aesthetically pleasing nail folds. This technique allows the full thickness grafts to be hidden on the radial and ulnar sides of the fingers and palm. It increases the span of the hand in conditions where there is shortage of palmar skin. A retrospective review has been undertaken of 102 patients in whom 221 webs were reconstructed through 176 surgical procedures. There were 54 cases of simple syndactylies (53%) and the rest were complex. Complications were encountered in 11 operations (6%) and web creep was noted in 12 web spaces (5%). Re-operation for web creep has been carried out in seven web spaces (3%).

O.226 Yu's rotation–advancement flap for lower lip reconstruction

2008 ◽  
Vol 36 ◽  
pp. S57
Author(s):  
M. Mancha de la Plata ◽  
P.L. Martos Diaz ◽  
F.J. Rodriguez Campo ◽  
L. Naval Gias ◽  
G.Y. Cho Lee ◽  
...  
Keyword(s):  
Advancement Flap ◽  
Lower Lip ◽  
Lip Reconstruction ◽  
Rotation Advancement

The Use of Split Thickness Skin Grafts in the Correction of Apert’s Syndactyly

2001 ◽  
Vol 26 (1) ◽  
pp. 8-10 ◽  
Author(s):  
M. M. AL-QATTAN
Keyword(s):  
Skin Graft ◽  
Joint Contracture ◽  
Skin Grafts ◽  
Thickness Skin ◽  
Constant Feature ◽  
Apert's Syndrome ◽  
Web Space ◽  
Skin Graft Contraction ◽  
The Web

Stiffness of the interphalangeal joints of the fingers is a constant feature of Apert’s syndrome. Because of this stiffness, the author has used split-thickness skin grafts when correcting Apert’s syndactyly, thinking that contraction of such grafts post-operatively would not cause any joint contracture or finger deviation. This paper reports the results of eight patients whose average age at first surgery was 6 months. Separation of all digits was accomplished before the age of 2 years. A dorsal rectangular flap and interposing triangular digital flaps were utilised to create the web space and partially cover the skin defects in the fingers. The remaining digital defects were covered with thin split-thickness skin grafts which took fully in all cases. At final follow-up (1–6 years), the areas covered by skin grafts have reduced in size significantly because of skin graft contraction. However, this did not result joint contracture or digital deviation.

Results of syndactyly release using a modification of the Flatt technique

2014 ◽  
Vol 39 (9) ◽  
pp. 984-988 ◽  
Author(s):  
A. G. Barabás ◽  
M. A. Pickford
Keyword(s):  
Graft Failure ◽  
Skin Grafts ◽  
Full Thickness ◽  
Full Thickness Skin ◽  
Straight Line ◽  
Thickness Skin ◽  
The Mean ◽  
Web Space ◽  
The Web

The results of 144 congenital syndactyly releases over a 12-year period by a single surgeon using a modified Flatt technique (dorsal hourglass flap, interdigitating zigzag flaps, and full-thickness skin grafts) are analyzed considering the association of skin grafts and web creep. The mean follow-up was 5 years. There were seven cases of graft failure, only one of which developed web creep. Web creep occurred in 4.2% of web releases. The results suggest that avoiding longitudinal straight-line scars across the web space may be an important factor in avoiding web creep when performing the modified Flatt technique described.

scholarly journals The evaluation of an interactive web-based Pulmonary Rehabilitation programme: protocol for the WEB SPACE for COPD feasibility study

BMJ Open ◽  
2015 ◽  
Vol 5 (8) ◽  
pp. e008055 ◽  
Author(s):  
Emma Chaplin ◽  
Stacey Hewitt ◽  
Lindsay Apps ◽  
Kelly Edwards ◽  
Chris Brough ◽  
...  
Keyword(s):  
Feasibility Study ◽  
Pulmonary Rehabilitation ◽  
Rehabilitation Programme ◽  
Web Based ◽  
Web Space ◽  
Pulmonary Rehabilitation Programme ◽  
The Web
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