title: Modified dorsal rotation advancement flap for release of the thumb web space.
abstract: The dorsal rotational advancement flap described by Buck-Gramcko in 1998 is a good local flap for release of the thumb index web space. This paper describes a modification which broadens the apex of the flap and increases its length. This modification provides a long wide flap which releases the thumb index web space with suture lines far beyond the web. In addition, it provides a release of the palmar skin even when very tight in severe narrowing of the web. It is suitable for release of thumb-index syndactyly, severe narrowing of the web in thumb hypoplasia and congenital clasped thumb.
authors.affiliation: Orthopaedic Department, Cairo University, Cairo, Egypt. hisham@medscape.com
authors.forename: H Abdel
authors.initials: HA
authors.lastname: Ghani
mesh_terms: D002675:Child, Preschool; D005260:Female; D006228:Hand Deformities, Congenital; D006801:Humans; D007223:Infant; D008297:Male; D013524:Surgical Flaps; D013576:Syndactyly / Q000601:surgery*; D013933:Thumb / Q000601:surgery*