Dancing girl flap: a new flap suitable for web release.
To create a deep web, a flap must be designed to have a high elongation effect in one direction along the mid-lateral line of the finger and also to have a shortening effect in the other direction, crossing at a right angle to the mid-lateral line. The dancing girl flap is a modification of a four-flap Z-plasty with two additional Z-plasties. It has a high elongation effect in one direction (>550%) and a shortening effect in the other direction at a right angle (<33%), creating a deep, U-shaped surface. This new flap can be used to release severe scar contracture with a web, and is most suitable for incomplete syndactyly with webs as high as the proximal interphalangeal joint.
Shinya
K
K
Plastic Surgery Department, Kobe City General Hospital, Japan.
D000328:Adult; D002675:Child, Preschool; D002921:Cicatrix / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods; D013524:Surgical Flaps; D013576:Syndactyly / Q000601:surgery*