[Simple and composite ulnar transplants in reconstructive surgery of the hand].
Over several years, the authors have devised a technique for compound island transplants of ulnar origin, harvested from the forearm's lower third, with reverse flow vascularization. Because of the variety of arterial ramifications, these transplants can consist: either of a simple cutaneous, superficial flexor tendon or ulnar fragment transplant, or, when associated, of compound cutaneous-tendinous, cutaneous-osseous and even cutaneous-tendinous-osseous transplants. These transplants, based on the clinical experience of 192 cases, can be used by retrograde rotation for a variety of indications, such as loss of skin cover, digital surface reconstruction or treatment of scaphoid pseudoarthrosis. But their main indication, as it represents a basic difference with other retrograde flaps, is the possibility of an island transplant of several superficial flexors complete with sheats, for the reconstruction of the fingers' flexing system in a single surgical act. This is all the more interesting as it is still technically possible to combine it with a cutaneous flap, so that the tendinous and cutaneous problems can be solved simultaneously. This technique permits reconstruction of the fingers' flexor system based on another concept, i.e. by using a vascularized tendinous transplant, and under different conditions since a single surgical act is required, thus saving long periods of sick leave, with functional results which compare with those of traditional techniques.
Guimberteau
J C
JC
Institut Aquitain de la Main, Bordeaux, France.
Panconi
B
B
Boileau
R
R
D002348:Carpal Bones / Q000601:surgery; D005542:Forearm / Q000098:blood supply / Q000601:surgery; D006801:Humans; D011542:Pseudarthrosis / Q000601:surgery; D013524:Surgical Flaps; D013709:Tendon Transfer / Q000379:methods*; D013710:Tendons / Q000601:surgery; D014457:Ulna / Q000601:surgery*; D017535:Ulnar Artery
Les transplants cubitaux simples et composites en chirurgie reconstructrice de la main.