An alternative approach in the treatment of thumb web contracture skin defects： lateral tarsal artery flap  

作　　者：HUANG Dong WANG Hong-gang ZHAO Cheng-yi WU Wei-zhi 

机构地区：[1]Department of Orthopedics, No. 2 People's Hospital of Guangdong Province, Guangzhou, Guangdong 510317, China [2]Department of Orthopaedics & Microsurgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510080, China [3]Department of Orthopaedics, Zhongshan City People's Hospital, Zhongshan, Guangdong 528403, China

出　　处：《Chinese Medical Journal》2009年第18期2133-2137,共5页中华医学杂志（英文版）

基　　金：This research was supported by a grant from the Natural Science Foundation of Guangdong Province （No. 8151031701000001）.

摘　　要：Background Thumb web contracture is a common complication after hand injury, and can markedly affect whole hand function. Therefore, surgery involving thumb web reconstruction is often necessary to restore normal function of the involved hand. In this study, we present the application of the lateral tarsal artery （LTA） flap in first web reconstruction. Methods From November 1, 2005 to October 31, 2007, seven patients with severe post trauma or burn contractures around the first web space were treated with a LTA flap. All the patients were followed up. Results All flaps survived, with an average size of 6.7 cm×4.8 cm. There were no complications or recurrent contractures during follow-up. All patients were satisfied with the esthetic appearance and functional outcome of the reconstruction. Conclusion The L＇I-A flap could be an excellent option for covering various defects in the thumb web space, serving as an excellent alternative for the thumb web space reconstruction.Background Thumb web contracture is a common complication after hand injury, and can markedly affect whole hand function. Therefore, surgery involving thumb web reconstruction is often necessary to restore normal function of the involved hand. In this study, we present the application of the lateral tarsal artery （LTA） flap in first web reconstruction. Methods From November 1, 2005 to October 31, 2007, seven patients with severe post trauma or burn contractures around the first web space were treated with a LTA flap. All the patients were followed up. Results All flaps survived, with an average size of 6.7 cm×4.8 cm. There were no complications or recurrent contractures during follow-up. All patients were satisfied with the esthetic appearance and functional outcome of the reconstruction. Conclusion The L＇I-A flap could be an excellent option for covering various defects in the thumb web space, serving as an excellent alternative for the thumb web space reconstruction.

关 键 词：thumb web contracture lateral tarsal artery flap RECONSTRUCTION 

分 类 号：TP393.092[自动化与计算机技术—计算机应用技术] Q959.8[自动化与计算机技术—计算机科学与技术]