Journal of Istanbul Faculty of Medicine

SUBMITINFORMATION
EnglishTürkçe

Research Article


DOI :10.18017/iuitfd.346274   IUP :10.18017/iuitfd.346274    Full Text (PDF)

MANAGEMENT OF FIRST WEB SPACE CONTRACTURES WITH BILOBED FLAPS

Hasan Utkan Aydın, Hayri Ömer Berköz, Atakan Aydın, Türker Özkan

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.

Keywords: Contracture, pedicled flap, adducted thumbs syndrome
DOI :10.18017/iuitfd.346274   IUP :10.18017/iuitfd.346274    Full Text (PDF)

BİRİNCİ PARMAK ARALIĞI KONTRAKTÜRLERİNİN BİLOBE FLEPLER İLE TEDAVİSİ

Hasan Utkan Aydın, Hayri Ömer Berköz, Atakan Aydın, Türker Özkan

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. 

Keywords: Kontraktürler, pediküllü flep, kenetlenmiş başparmak sendromu

PDF View

References

  • Moody L, Galvez MG, and Chang J. Reconstruction of First Web Space Contractures. J Hand Surg Am 2015; 40(9):1892-5 google scholar
  • Jensen CB, Rayan GM, Davidson R. First web space contracture and hand function. J Hand Surg Am 1993;18(3):516-20. google scholar
  • 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 google scholar
  • Ghani HA. Modified dorsal rotation advancement flap for release of the thumb web space. J Hand Surg Br 2006;31(2):226-9. google scholar
  • Buck-Gramcko D. Congenital malformations of the hand and forearm, Churchill Livingstone, London, UK. 1998 google scholar
  • Therattil PJ, Datiashvili RO. First web space contracture. Eplasty 2014;14: ic28. google scholar
  • Ezaki M, Oishi SN. Index rotation flap for palmar thumb release in arthrogryposis. Tech Hand Up Extrem Surg 2010;14(1):38-40. google scholar
  • Zimany A. The bi-lobed flap. Plast Reconstr Surg 1953;11(6):424-34. google scholar
  • 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. google scholar
  • McGregor JC, Soutar DS. A critical assessment of the bilobed flap. Br J Plast Surg 1981;34(2):197-205. google scholar
  • 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. google scholar
  • 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. google scholar
  • 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. google scholar
  • 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. google scholar
  • McCarroll HR Jr., Manske PR. The windblown hand: correction of the complex clasped thumb deformity. Hand Clin 1992;8(1):147-59. google scholar
  • 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. google scholar
  • 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. google scholar

Citations

Copy and paste a formatted citation or use one of the options to export in your chosen format


EXPORT



APA

Aydın, H.U., Berköz, H.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 H U, Berköz H Ö, Aydın A, Özkan T. MANAGEMENT OF FIRST WEB SPACE CONTRACTURES WITH BILOBED FLAPS. Journal of Istanbul Faculty of Medicine. 2017;80(4):131-137. https://doi.org/10.18017/iuitfd.346274


ABNT

Aydın, H.U.; Berköz, H.Ö.; Aydın, A.; Özkan, T. MANAGEMENT OF FIRST WEB SPACE CONTRACTURES WITH BILOBED FLAPS. Journal of Istanbul Faculty of Medicine, [Publisher Location], v. 80, n. 4, p. 131-137, 2017.


Chicago: Author-Date Style

Aydın, Hasan Utkan, and Hayri Ömer Berköz and Atakan Aydın and Türker Özkan. 2017. “MANAGEMENT OF FIRST WEB SPACE CONTRACTURES WITH BILOBED FLAPS.” Journal of Istanbul Faculty of Medicine 80, no. 4: 131-137. https://doi.org/10.18017/iuitfd.346274


Chicago: Humanities Style

Aydın, Hasan Utkan, and Hayri Ömer Berköz and Atakan Aydın and Türker Özkan. “MANAGEMENT OF FIRST WEB SPACE CONTRACTURES WITH BILOBED FLAPS.” Journal of Istanbul Faculty of Medicine 80, no. 4 (May. 2024): 131-137. https://doi.org/10.18017/iuitfd.346274


Harvard: Australian Style

Aydın, HU & Berköz, HÖ & Aydın, A & Özkan, T 2017, 'MANAGEMENT OF FIRST WEB SPACE CONTRACTURES WITH BILOBED FLAPS', Journal of Istanbul Faculty of Medicine, vol. 80, no. 4, pp. 131-137, viewed 20 May. 2024, https://doi.org/10.18017/iuitfd.346274


Harvard: Author-Date Style

Aydın, H.U. and Berköz, H.Ö. and Aydın, A. and Özkan, T. (2017) ‘MANAGEMENT OF FIRST WEB SPACE CONTRACTURES WITH BILOBED FLAPS’, Journal of Istanbul Faculty of Medicine, 80(4), pp. 131-137. https://doi.org/10.18017/iuitfd.346274 (20 May. 2024).


MLA

Aydın, Hasan Utkan, and Hayri Ömer Berköz and Atakan Aydın and Türker Özkan. “MANAGEMENT OF FIRST WEB SPACE CONTRACTURES WITH BILOBED FLAPS.” Journal of Istanbul Faculty of Medicine, vol. 80, no. 4, 2017, pp. 131-137. [Database Container], https://doi.org/10.18017/iuitfd.346274


Vancouver

Aydın HU, Berköz HÖ, Aydın A, Özkan T. MANAGEMENT OF FIRST WEB SPACE CONTRACTURES WITH BILOBED FLAPS. Journal of Istanbul Faculty of Medicine [Internet]. 20 May. 2024 [cited 20 May. 2024];80(4):131-137. Available from: https://doi.org/10.18017/iuitfd.346274 doi: 10.18017/iuitfd.346274


ISNAD

Aydın, HasanUtkan - Berköz, HayriÖmer - Aydın, Atakan - Özkan, Türker. “MANAGEMENT OF FIRST WEB SPACE CONTRACTURES WITH BILOBED FLAPS”. Journal of Istanbul Faculty of Medicine 80/4 (May. 2024): 131-137. https://doi.org/10.18017/iuitfd.346274



TIMELINE


Submitted24.10.2017
Accepted06.12.2017
Published Online20.12.2017

LICENCE


Attribution-NonCommercial (CC BY-NC)

This license lets others remix, tweak, and build upon your work non-commercially, and although their new works must also acknowledge you and be non-commercial, they don’t have to license their derivative works on the same terms.


SHARE




Istanbul University Press aims to contribute to the dissemination of ever growing scientific knowledge through publication of high quality scientific journals and books in accordance with the international publishing standards and ethics. Istanbul University Press follows an open access, non-commercial, scholarly publishing.