title: Neurovascular Advancement Flap to Release Flexion Contracture of the Proximal Interphalangeal Joint.
abstract: Various methods have been described to surgically release posttraumatic flexion contracture of the proximal interphalangeal joint. Extension of the distal digit often creates a soft tissue defect on the volar aspect of the finger. Although various flaps and skin grafting have been utilized for coverage of this defect, they can be associated with morbidity. We present our experience with a volar neurovascular advancement flap to achieve soft tissue release in proximal interphalangeal joint flexion contracture. This advancement flap is designed to include both digital neurovascular bundles and eliminates the need for a secondary procedure as it allows primary closure of the subsequent defect. It is indicated for contracture lengthening of 10 to 14 mm. Surgical considerations of flap design are discussed.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, and Chang Gung University, Taipei, Taiwan.
authors.forename: James
authors.initials: J
authors.lastname: Tseng
authors.affiliation: Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, and Chang Gung University, Taipei, Taiwan. Electronic address: linutcgmh@gmail.com.
authors.forename: Yu-Te
authors.initials: YT
authors.lastname: Lin
mesh_terms: D003286:Contracture / Q000209:etiology / Q000601:surgery*; D005383:Finger Injuries / Q000150:complications / Q000601:surgery*; D005384:Finger Joint / Q000098:blood supply / Q000294:innervation / Q000601:surgery*; D006801:Humans; D016059:Range of Motion, Articular; D013524:Surgical Flaps / Q000098:blood supply / Q000294:innervation
keywords: Flap; PIP joint; flexion contracture; neurovascular