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MANAGEMENT OF FIRST WEB SPACE CONTRACTURES WITH BILOBED FLAPS

Yıl 2017, Cilt: 80 Sayı: 4, 131 - 137, 20.12.2017

Hasan Utkan Aydın Ömer Berköz Atakan Aydın Türker Özkan

https://doi.org/10.18017/iuitfd.346274

Öz

Objective: First web space is very
important for overall hand function. One of the methods frequently utilized to
manage contractures in this area are skin transposition flaps harvested from
dorsal radial aspect of the index finger. In this study, we present our results
with bilobed flap modification of the dorsoradial transposition flap we
designed to facilitate the transposition of the flap and to minimize the
contour deformity at the donor site.

Materials and Methods: A retrospective
chart review was made to gather information on eight cases operated using this
modification

Results: Satisfactory results were achieved
and no serious complications were observed in our series consisting of eight
patients (10 hands in total) with an average follow-up of 15.3 months.







Conclusion: Modification of dorsoradial
transposition flap in a bilobed fashion safely minimizes problems related to
donor site and at the same time facilitates transposition of the flap.

Anahtar Kelimeler

Contracture; pedicled flap; adducted thumbs syndrome

Kaynakça

  • Moody L, Galvez MG, and Chang J. Reconstruction of First Web Space Contractures. J Hand Surg Am 2015; 40(9):1892-5
  • Jensen CB, Rayan GM, Davidson R. First web space contracture and hand function. J Hand Surg Am 1993;18(3):516-20.
  • Wolfe SW, Pederson W, Hotchkiss R, Kozin S, Cohen M. Green's Operative Hand Surgery, Elsevier/Churchill Livingstone. Philadelphia, ABD. 7th Ed., 2017;p. 1365-90
  • Ghani HA. Modified dorsal rotation advancement flap for release of the thumb web space. J Hand Surg Br 2006;31(2):226-9.
  • Buck-Gramcko D. Congenital malformations of the hand and forearm, Churchill Livingstone, London, UK. 1998
  • Therattil PJ, Datiashvili RO. First web space contracture. Eplasty 2014;14: ic28.
  • Ezaki M, Oishi SN. Index rotation flap for palmar thumb release in arthrogryposis. Tech Hand Up Extrem Surg 2010;14(1):38-40.
  • Zimany A. The bi-lobed flap. Plast Reconstr Surg 1953;11(6):424-34.
  • Esser JFS. Gestielte lokale Nasenplastik mit zweizipfligen Lappen, Deckung des sekundaren Defektes vom ersten Zipfel durch den Zweiten. Deutsche Zeitschrift für Chirurgie 1918;143:385-390.
  • McGregor JC, Soutar DS. A critical assessment of the bilobed flap. Br J Plast Surg 1981;34(2):197-205.
  • Young KA, Campbell AC. The bilobed flap in treatment of mucous cysts of the distal interphalangeal joint. J Hand Surg Br 1999;24(2):238-40.
  • Evans DM, Gateley DR, Lewis JS. The use of a bilobed flap in the correction of radial club hand. J Hand Surg Br 1995;20(3):333-7.
  • Cerqueiro-Mosquera J, Fleming AN. The bilobed flap: a new application in the reconstruction of congenital thumb deviation. J Hand Surg Br 2000;25(3): 262-5.
  • Dogan F, Coruh A. Novel biogeometric designs of first dorsal metacarpal artery flap in hand reconstruction. J Burn Care Res 2014;35(6): e399-405.
  • McCarroll HR Jr., Manske PR. The windblown hand: correction of the complex clasped thumb deformity. Hand Clin 1992;8(1):147-59.
  • Fraulin FO, Thomson HG. First webspace deepening: comparing the four-flap and five-flap Z-plasty. Which gives the most gain? Plast Reconstr Surg 1999;104(1):120-8.
  • Scheker LR, Lister GD, Wolff TW. The lateral arm free flap in releasing severe contracture of the first web space. J Hand Surg Br 1988;13(2):146-50.

BİRİNCİ PARMAK ARALIĞI KONTRAKTÜRLERİNİN BİLOBE FLEPLER İLE TEDAVİSİ

Yıl 2017, Cilt: 80 Sayı: 4, 131 - 137, 20.12.2017

Hasan Utkan Aydın Ömer Berköz Atakan Aydın Türker Özkan

https://doi.org/10.18017/iuitfd.346274

Öz

Amaç: Birinci parmak aralığı (web) bölgesi
el işlevleri açısından büyük önem taşır. Bu bölgedeki kontraktürlerin
giderilmesi için en sık kullanılan yöntemlerden biri işaret parmağı dorsalinden
çevrilen transpozisyon flebidir. Bu çalışmada, dorsoradyal rotasyon flebinin
verici alanında ortaya çıkan kontür deformitesini gidermek ve flebin
transpozisyonunu kolaylaştırmak için kullandığımız bilobe flep yöntemine ait
sonuçları ortaya koymayı amaçladık.

Gereç ve Yöntem: Bu yöntem kullanılarak
birinci parmak aralığı kontraktürü açılmış sekiz hastaya ait tedavi ve takip
bilgileri retrospektif olarak incelendi.

Bulgular: Bu yöntemin uygulandığı sekiz
hastalık (toplam on el) serimizde ortalama takip süresi 15,3 aydı. Olguların
takiplerinde önemli bir komplikasyon görülmedi ve yeterli birinci parmak
aralığı açıklığı elde edilebildi.







Sonuç: Dorsoradyal transpozisyon flebinin
bilobe olarak modifiye edilmesi bu fleple ilgili verici saha sorunlarını güvenli
bir biçimde azaltmakta ve flebin daha rahat transpoze edilmesine olanak
vermektedir. 

Anahtar Kelimeler

Kontraktürler; pediküllü flep; kenetlenmiş başparmak sendromu

Kaynakça

  • Moody L, Galvez MG, and Chang J. Reconstruction of First Web Space Contractures. J Hand Surg Am 2015; 40(9):1892-5
  • Jensen CB, Rayan GM, Davidson R. First web space contracture and hand function. J Hand Surg Am 1993;18(3):516-20.
  • Wolfe SW, Pederson W, Hotchkiss R, Kozin S, Cohen M. Green's Operative Hand Surgery, Elsevier/Churchill Livingstone. Philadelphia, ABD. 7th Ed., 2017;p. 1365-90
  • Ghani HA. Modified dorsal rotation advancement flap for release of the thumb web space. J Hand Surg Br 2006;31(2):226-9.
  • Buck-Gramcko D. Congenital malformations of the hand and forearm, Churchill Livingstone, London, UK. 1998
  • Therattil PJ, Datiashvili RO. First web space contracture. Eplasty 2014;14: ic28.
  • Ezaki M, Oishi SN. Index rotation flap for palmar thumb release in arthrogryposis. Tech Hand Up Extrem Surg 2010;14(1):38-40.
  • Zimany A. The bi-lobed flap. Plast Reconstr Surg 1953;11(6):424-34.
  • Esser JFS. Gestielte lokale Nasenplastik mit zweizipfligen Lappen, Deckung des sekundaren Defektes vom ersten Zipfel durch den Zweiten. Deutsche Zeitschrift für Chirurgie 1918;143:385-390.
  • McGregor JC, Soutar DS. A critical assessment of the bilobed flap. Br J Plast Surg 1981;34(2):197-205.
  • Young KA, Campbell AC. The bilobed flap in treatment of mucous cysts of the distal interphalangeal joint. J Hand Surg Br 1999;24(2):238-40.
  • Evans DM, Gateley DR, Lewis JS. The use of a bilobed flap in the correction of radial club hand. J Hand Surg Br 1995;20(3):333-7.
  • Cerqueiro-Mosquera J, Fleming AN. The bilobed flap: a new application in the reconstruction of congenital thumb deviation. J Hand Surg Br 2000;25(3): 262-5.
  • Dogan F, Coruh A. Novel biogeometric designs of first dorsal metacarpal artery flap in hand reconstruction. J Burn Care Res 2014;35(6): e399-405.
  • McCarroll HR Jr., Manske PR. The windblown hand: correction of the complex clasped thumb deformity. Hand Clin 1992;8(1):147-59.
  • Fraulin FO, Thomson HG. First webspace deepening: comparing the four-flap and five-flap Z-plasty. Which gives the most gain? Plast Reconstr Surg 1999;104(1):120-8.
  • Scheker LR, Lister GD, Wolff TW. The lateral arm free flap in releasing severe contracture of the first web space. J Hand Surg Br 1988;13(2):146-50.
Toplam 17 adet kaynakça vardır.

Ayrıntılar

Konular Sağlık Kurumları Yönetimi
Bölüm Klinik Araştırma
Yazarlar

Hasan Utkan Aydın

Ömer Berköz Bu kişi benim

Atakan Aydın

Türker Özkan

Yayımlanma Tarihi 20 Aralık 2017
Gönderilme Tarihi 24 Ekim 2017
Yayımlandığı Sayı Yıl 2017 Cilt: 80 Sayı: 4

Kaynak Göster

APA Aydın, H. U., Berköz, Ö., Aydın, A., Özkan, T. (2017). MANAGEMENT OF FIRST WEB SPACE CONTRACTURES WITH BILOBED FLAPS. Journal of Istanbul Faculty of Medicine, 80(4), 131-137. https://doi.org/10.18017/iuitfd.346274
AMA Aydın HU, Berköz Ö, Aydın A, Özkan T. MANAGEMENT OF FIRST WEB SPACE CONTRACTURES WITH BILOBED FLAPS. İst Tıp Fak Derg. Aralık 2017;80(4):131-137. doi:10.18017/iuitfd.346274
Chicago Aydın, Hasan Utkan, Ömer Berköz, Atakan Aydın, ve Türker Özkan. “MANAGEMENT OF FIRST WEB SPACE CONTRACTURES WITH BILOBED FLAPS”. Journal of Istanbul Faculty of Medicine 80, sy. 4 (Aralık 2017): 131-37. https://doi.org/10.18017/iuitfd.346274.
EndNote Aydın HU, Berköz Ö, Aydın A, Özkan T (01 Aralık 2017) MANAGEMENT OF FIRST WEB SPACE CONTRACTURES WITH BILOBED FLAPS. Journal of Istanbul Faculty of Medicine 80 4 131–137.
IEEE H. U. Aydın, Ö. Berköz, A. Aydın, ve T. Özkan, “MANAGEMENT OF FIRST WEB SPACE CONTRACTURES WITH BILOBED FLAPS”, İst Tıp Fak Derg, c. 80, sy. 4, ss. 131–137, 2017, doi: 10.18017/iuitfd.346274.
ISNAD Aydın, Hasan Utkan vd. “MANAGEMENT OF FIRST WEB SPACE CONTRACTURES WITH BILOBED FLAPS”. Journal of Istanbul Faculty of Medicine 80/4 (Aralık 2017), 131-137. https://doi.org/10.18017/iuitfd.346274.
JAMA Aydın HU, Berköz Ö, Aydın A, Özkan T. MANAGEMENT OF FIRST WEB SPACE CONTRACTURES WITH BILOBED FLAPS. İst Tıp Fak Derg. 2017;80:131–137.
MLA Aydın, Hasan Utkan vd. “MANAGEMENT OF FIRST WEB SPACE CONTRACTURES WITH BILOBED FLAPS”. Journal of Istanbul Faculty of Medicine, c. 80, sy. 4, 2017, ss. 131-7, doi:10.18017/iuitfd.346274.
Vancouver Aydın HU, Berköz Ö, Aydın A, Özkan T. MANAGEMENT OF FIRST WEB SPACE CONTRACTURES WITH BILOBED FLAPS. İst Tıp Fak Derg. 2017;80(4):131-7.
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