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

Acharya, AM and Jayakrishnan, KN and Bhat, Anil K (2019) The role of pedicled abdominal flaps in hand and forearm composite tissue injuries: Results of technical refinements for safe harvest. Journal Orthopaedics, 16. pp. 369-376. ISSN 0972-978X

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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.

Item Type: Article
Uncontrolled Keywords: Groin flap; Abdominal flap; Pedicle flap
Subjects: Medicine > KMC Manipal > Orthopaedics
Depositing User: KMC Library
Date Deposited: 23 Sep 2019 10:04
Last Modified: 23 Sep 2019 10:04
URI: http://eprints.manipal.edu/id/eprint/154548

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