Literature DB >> 31193279

The role of pedicled abdominal flaps in hand and forearm composite tissue injuries: Results of technical refinements for safe harvest.

A M Acharya1, N Ravikiran2, K N Jayakrishnan1, Anil K Bhat1.   

Abstract

We evaluated the outcome of new technical refinements in abdominal flap coverage of major defects in upper limb for its reliability and safety. 68 patients were assessed for indications, additional procedures, complications and DASH questionnaire evaluation at the end of a year. The mean size of flap was 56 cm2 (range 6-250 cm2). Median DASH score was 11.5 (range: 0-63). Hand stiffness was observed in 39% of patients. However, this was absent in whom prophylactic pinning of metacarpophalangeal joints were done in James position. Abdominal flaps give satisfactory results in hand injuries. Competent hand therapy program is essential to get best results.

Entities:  

Keywords:  Abdominal flap; Groin flap; Pedicle flap

Year:  2019        PMID: 31193279      PMCID: PMC6525282          DOI: 10.1016/j.jor.2019.04.008

Source DB:  PubMed          Journal:  J Orthop        ISSN: 0972-978X


  18 in total

1.  Aspirin and microvascular surgery: an update.

Authors:  Frank W Peter; Hans U Steinau; Heinz H Homann; John H Barker
Journal:  Plast Reconstr Surg       Date:  2003-10       Impact factor: 4.730

Review 2.  An old dream revitalised: preconditioning strategies to protect surgical flaps from critical ischaemia and ischaemia-reperfusion injury.

Authors:  Y Harder; M Amon; M W Laschke; R Schramm; M Rücker; R Wettstein; J Bastiaanse; A Frick; H-G Machens; M Küntscher; G Germann; B Vollmar; D Erni; M D Menger
Journal:  J Plast Reconstr Aesthet Surg       Date:  2007-12-31       Impact factor: 2.740

3.  Pedicled thoracoabdominal flap coverage about the elbow in traumatic war injuries.

Authors:  Gerald L Farber; Kenneth F Taylor; Allan C Smith
Journal:  Hand (N Y)       Date:  2009-07-15

4.  Outcome assessment after reconstruction of complex defects of the forearm and hand with osteocutaneous free flaps.

Authors:  Thomas Kremer; Berthold Bickert; Günter Germann; Christoph Heitmann; Michael Sauerbier
Journal:  Plast Reconstr Surg       Date:  2006-08       Impact factor: 4.730

5.  Free flap cover of acute hand injuries.

Authors:  J Katsaros; E Tan; N Zoltie
Journal:  Injury       Date:  1989-03       Impact factor: 2.586

Review 6.  Indications, selection, and use of distant pedicled flap for upper limb reconstruction.

Authors:  S Raja Sabapathy; Babu Bajantri
Journal:  Hand Clin       Date:  2014-05       Impact factor: 1.907

7.  Lateral arm free flaps in the defects of the upper extremity--a review of 72 cases.

Authors:  M Akinci; S Ay; S Kamiloglu; O Erçetin
Journal:  Hand Surg       Date:  2005

8.  The effectiveness of pedicled groin flaps in the treatment of hand defects: results of 49 patients.

Authors:  Ole Goertz; Nicolai Kapalschinski; Adrien Daigeler; Tobias Hirsch; Heinz H Homann; Lars Steinstraesser; Marcus Lehnhardt; Hans U Steinau
Journal:  J Hand Surg Am       Date:  2012-08-31       Impact factor: 2.230

9.  Groin flap design and versatility.

Authors:  D C Chuang; L H Colony; H C Chen; F C Wei
Journal:  Plast Reconstr Surg       Date:  1989-07       Impact factor: 4.730

10.  Free tissue transfer to the traumatized upper extremity: Risk factors for postoperative complications in 282 cases.

Authors:  Amit Gupta; Chrisovalantis Lakhiani; Beng Hai Lim; Johnathon M Aho; Adam Goodwin; Ashley Tregaskiss; Michael Lee; Luis Scheker; Michel Saint-Cyr
Journal:  J Plast Reconstr Aesthet Surg       Date:  2015-05-21       Impact factor: 2.740

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  2 in total

1.  Pedicled Abdominal Flaps for Hand Reconstruction in Adults: Physiotherapy of the Attached Hand.

Authors:  Mohammad M Al-Qattan; Alwaleed K Alammar; Faisal A Alfaqeeh; Lamees A Altamimi; Norah S Alfehaid; Nehal A Mahabbat; Rajeev Pant
Journal:  Plast Reconstr Surg Glob Open       Date:  2021-03-24

2.  Effect of dorsal nerve fascial island flap on repairing distal soft tissue defects at the proximal segment of the index, middle, ring, and little fingers.

Authors:  Xun Wang; Jingdan Lv; Shujiao Liu; Shuangyue Xu; Guoliang Yan
Journal:  J Orthop Surg Res       Date:  2022-09-14       Impact factor: 2.677

  2 in total

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