Correction of first web space deficiency in congenital deformities of the hand with the pseudokite flap.
The authors describe a new flap to enlarge or create a first web in patients with congenital deficiencies of the hand. This lozenge-shaped flap is harvested from the dorsoradial aspect of the index finger based on a narrow proximal skin bridge protecting its axial vascularization. A dorsal skin graft of the donor site is avoided by closure using a rhomboid flap. Procedures in 16 patients were performed and reviewed; the only complication was insertion of a small split-thickness graft in five patients to avoid tension at the metacarpophalangeal joint level. The flap lengthened the web fold an average of 3.2 cm without "pseudolengthening" the thumb.
Foucher
G
G
SOS Main Strasbourg, Hôpital de Hautepierre, Université de Strasbourg, Universidad de Las Palmas de Gran Canaria, Strasbourg, France. ifssh@aol.com
Medina
J
J
Navarro And
R
R
Khouri
R K
RK
D002648:Child; D002675:Child, Preschool; D006228:Hand Deformities, Congenital / Q000601:surgery*; D006801:Humans; D007223:Infant; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D013524:Surgical Flaps