title: [Application of distal palm perforator mini-flap in repair of scar contracture of digital web-spaces].
abstract: OBJECTIVE
  To discuss the effectiveness of distal palm perforator mini-flap in the treatment of scar contracture of digital web-spaces.
  
  
  METHODS
  Between August 2008 and March 2010, 6 cases of scar contracture of digital web-spaces were treated, including 4 males and 2 females and aging 16-68 years (mean, 45 years). The causes were burn injury, twisting injury, and crush injury in 2 cases, respectively. The disease duration was from 3 months to 3 years. The affected digital web-spaces were from index finger to middle finger in 2 cases, from middle finger to ring finger in 3 cases, and from ring finger to small finger in 1 case. The maximum abduction degree of digital web-spaces was 5-10 degrees. The sizes and the depths of reshape of digital web-spaces disappeared. The defect size ranged from 20 mm x 8 mm to 30 mm x 13 mm after opening digital web-spaces. The size of the distal palm perforator mini-flap ranged from 25 mm x 10 mm to 35 mm x 15 mm. The donor sites were sutured directly.
  
  
  RESULTS
  All 6 flaps survived and got primary healing. Incisions at donor sites healed by first intention. All patients were followed up 6-12 months. The reconstructed digital web-spaces had good appearance and soft texture. The range of motion of metacarpophalangeal joint was normal. The sizes and the depths of reshape of digital web-spaces were similar to normal ones. The maximum abduction degree of digital web-spaces was 40-60 degrees. There was no scar contracture of incision of palm. The shape of flaps and function of the fingers were satisfactory after 6-12 months of follow-up.
  
  
  CONCLUSIONS
  It is an ideal method to treat scar contracture of digital web-spaces with distal palm perforator mini-flap.
authors.affiliation: Department of Hand Surgery, Wuxi Hand Surgery Hospital, Wuxi Jiangsu, 214062, PR China. zhoudaxiaowuxi@sohu.com
authors.forename: Xiao
authors.initials: X
authors.lastname: Zhou
authors.forename: Yajun
authors.initials: Y
authors.lastname: Xu
authors.forename: Yongjun
authors.initials: Y
authors.lastname: Rui
authors.forename: Kuishui
authors.initials: K
authors.lastname: Shou
authors.forename: Qun
authors.initials: Q
authors.lastname: Yao
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003286:Contracture / Q000601:surgery*; D005260:Female; D005385:Fingers / Q000601:surgery; D006225:Hand / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation; D013524:Surgical Flaps; D055815:Young Adult