Linked Life Data

9523611

Source:http://linkedlifedata.com/resource/pubmed/id/9523611

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
1998-5-12
pubmed:abstractText
We used the free dorsalis pedis flap including the extensor digitorum longus or the extensor hallucis brevis, and/or the superficial peroneal nerve to reconstruct composite loss of skin and tendons on the dorsum of the hand. Between February 1992 and February 1996 we treated 7 patients with composite tissue loss on the dorsal hand caused by trauma or burn. Six men and 1 woman had an average age of 26 years (range, 19-42 years). Flap size ranged from 3 x 4 cm to 9.5 x 9 cm. The follow-up period ranged from 10 to 44 months. At 1 week postoperatively, active flexion and passive extension commenced, and progressive resistance exercises were performed for an additional 5 weeks. Two-point discrimination of the transferred flaps averaged 25 mm. Recovery rates for range of motion of the metacarpophalangeal joints in the operated fingers ranged from 83% to 99% (average, 91.4%). All transferred flaps showed similar color match and skin texture compared with the normal skin of the hand. The advantages of this procedure are mass action reconstruction with multiple tendons, provision of similar skin texture, sensory reinnervation, one-stage operation, faster healing with less adhesion formation, and early mobilization. The disadvantages are donor site scarring and weak extension of the toe.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
0148-7043
pubmed:author
pubmed:issnType
Print
pubmed:volume
40
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
268-76
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1998
pubmed:articleTitle
Use of the free innervated dorsalis pedis tendocutaneous flap in composite hand reconstruction.
pubmed:affiliation
Department of Plastic and Reconstructive Surgery, Kyungpook National University Hospital, Taegu, Korea.
pubmed:publicationType
Journal Article, Case Reports