Perfusion of the abductor digiti quinti after transfer on a neurovascular pedicle.
The perfusion to the abductor digiti quinti muscle was measured, both before and after, opponensplasty transfer on its neurovascular pedicle in six monkeys, with use of the hydrogen wash-out technique to determine blood flow. The musculotendinous unit can be transferred without vascular compromise, but detachment of the abductor digiti quinti from its origin on the pisiform results in ischemia. Such impairment of blood flow to the muscle may be responsible for the postoperative fibrosis, which has been seen as a complication of the procedure.
Dunlap
J
J
Division of Orthopedic Surgery, Washington University School of Medicine, St. Louis, Mo 63110.
Manske
P R
PR
McCarthy
J A
JA
D000818:Animals; D005355:Fibrosis; D006859:Hydrogen; D007511:Ischemia / Q000150:complications / Q000175:diagnosis; D008254:Macaca nemestrina; D009132:Muscles / Q000098:blood supply* / Q000473:pathology / Q000601:surgery; D012039:Regional Blood Flow; D013524:Surgical Flaps; D013933:Thumb / Q000601:surgery*
D006859:Hydrogen