Can an adipofascial flap be used to prevent adhesions after plating of the proximal phalanx? A case report.
Tendon adhesions in zone IV after proximal phalangeal fractures are common and may lead to loss of range of motion at the proximal interphalangeal joint. The type of fracture, surgical technique and rehabilitation strategy also influence the final functional outcome. Plate fixation is a reliable solution in cases of comminuted phalangeal fracture. This article describes how adhesions between the plate and extensor apparatus in cases of comminuted fractures of the proximal phalanx can be reduced by using an adipofascial flap.
Hand Surgery Unit, Surgical Department, Locarno's Regional Hospital, Via all'Ospedale, 1, 6600 Locarno, Switzerland. Electronic address: stefano.lucchina@handregistry.com.
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Lucchina
Hand Surgery Unit, Surgical Department, Locarno's Regional Hospital, Via all'Ospedale, 1, 6600 Locarno, Switzerland.
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Maggiulli
Microsurgery Unit, Department of Orthopaedics and Traumatology, AO City of Health and Science of Turin, 10126 Turin, Italy.
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Tos
Division of Vascular Surgery and Reconstructive Microsurgery, Victor Babes University of Medicine and Pharmacy, Clinic of Vascular Surgery, Emergency County Hospital Timisoara, 2, Eftimie Murgu Square, 300041 Timisoara, Romania.
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Ionac
Hand Surgery Unit, Surgical Department, Locarno's Regional Hospital, Via all'Ospedale, 1, 6600 Locarno, Switzerland.
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Fusetti
D000273:Adipose Tissue / Q000637:transplantation; D000328:Adult; D001860:Bone Plates; D005205:Fascia / Q000637:transplantation; D050278:Finger Phalanges / Q000293:injuries*; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000601:surgery*; D018460:Fractures, Comminuted / Q000601:surgery*; D006801:Humans; D008297:Male; D013524:Surgical Flaps; D000267:Tissue Adhesions / Q000517:prevention & control*
Adhérences tendineuses; Adipofascial flap; Complications; Fracture de phalange; Lambeau fascio-adipeux; Ostéosynthèse par plaque; Phalangeal fracture; Plate fixation; Tendon adhesions