Comparison between Three Flaps for Reconstruction of Posttraumatic Soft Tissue Hand Defects | ||||
The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
Article 12, Volume 42, Issue 1, January 2018, Page 75-83 PDF (17.07 MB) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejprs.2018.215068 | ||||
View on SCiNiTO | ||||
Author | ||||
Mohammad Ahmmad* | ||||
The Plastic and Reconstructive Surgery Unit, Faculty of Medicine, Zagazig University, Zagazig | ||||
Abstract | ||||
Introduction: Mutilating injuries of the hand that occur due to different types of trauma could produce soft tissue defects with, or without bone, tendons, and joint injuries. It is a challenge to reconstructive plastic surgeon. Patients and Methods: Forty nine patients presented by hand soft tissue defects. The Patients were divided according to the procedure done into three groups: Posterior interosseous artery (PIA) flap (Group I), reversed radial forearm (RRF) flap (group II) and abdominal flap (group III). Results: Post-operative DASH score and follow up period in abdominal flap operated group were significantly higher than that operated by PIA flap "group I" and "group II". Cosmetic evaluation of patients in group I was significantly higher than that of RRF flap, and abdominal flap. There was a postoperative significant improvement of the angle of first web space in comparison to preoperative angle in six cases operated for contracture of the first web space. The postoperative complications in PIA flap operated group were 21.05%, and 27.78% in RRF flap operated group. In abdominal flap < br />operated group 78.95% of cases showed complications. In Conclusion: Reconstructive plastic surgeon should have the capability and plasticity in dealing with soft tissue defects of the hands, with best recruitment of the available local forearm flaps, and distant flaps. Each patient should be individually studied and well counseled before the choice of the proper reconstructive method. | ||||
Keywords | ||||
Soft tissue; Defect; Reconstruction; Flaps; Hand | ||||
References | ||||
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