title: [Application of thenar perforator flaps for the narrow cicatricial contracture at thumb and the first web].
abstract: OBJECTIVE
  To discuss the therapeutic effect of thenar perforator flaps for the narrow cicatricial contracture at thumb and the first web.
  
  
  METHODS
  From Aug. 2010 to Jan. 2012, 9 cases with narrow cicatricial contracture at thumb and the first web, were treated. The defect size after releasing the contracture ranged from 8 mm x 20 mm to 15 cm x 30 mm. The bilateral thenar perforator flaps beside the wound were designed which size was 10 mm x 25 mm to 15 mm x 35 mm. The wounds at donor sites were closed directly.
  
  
  RESULTS
  All the 9 flaps survived completely with primary healing. The patients were followed up for 6-18 months. The flaps had soft texture and good appearance. The shape of flaps and function of the fingers were satisfied after 6-18 months of follow-up. There was no scar contracture at incisions in thenar. The thumb motion was really normal. The abduction of first web was 70 degrees - 90 degrees degrees.
  
  
  CONCLUSIONS
  The thenar perforator flaps is one of the ideal methods for the treatment of narrow cicatricial contracture at thumb and the first web. The main artery is not sacrified.
authors: Xiao
authors: X
authors: Zhou
authors: Ya-Jun
authors: YJ
authors: Xu
authors: Yong-Jun
authors: YJ
authors: Rui
authors: Yue-Feng
authors: YF
authors: Bao
mesh_terms: D001158:Arteries; D002921:Cicatrix / Q000601:surgery; D003286:Contracture / Q000601:surgery*; D005385:Fingers; D006801:Humans; D061525:Perforator Flap / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods; D016038:Skin Transplantation; D013933:Thumb / Q000601:surgery*; D014945:Wound Healing