By John C. Kelleher
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Additional resources for Abdominal Pedicle Flaps To The Hand & Forearm
Because the distal ulna is small it is always better to place the Kirschner wire through the ulna first then into the radius while they are held in the desired degree of supination/pronation. A suction drain is frequently helpful because of the concavity of the palm. Case No 1: A 31-year-old man caught his right dominant hand in a printing press roller. Examination revealed a distal based ulnar avulsion flap extending up onto the dorsum of the hand on the ulnar side. 1A, B). 1B Stage I. He was taken to surgery.
4E). 4E Stage III. 4G). 4G Stage IV Ten weeks later a transposition of the remaining long finger metacarpal and proximal phalanx was performed to the base of the thumb metacarpal with the use of bone grafts and internal fixation. A temporary bayonet shaped Kirschner wire, inserted into the metacarpals, was used to separate and hold the position of the new web space. 8). The tube flap was then transected horizontally at its midpoint. The tube on the volar side was opened, defatted and trimmed to fit the skin defect on the volar side of the thenar eminence.
These photos were taken 18 years later. 2F next Chapter Eight: TECHNICAL REQUIREMENTS FOR FORMATION OF A TUBED PEDICLE FLAP EXAMPLES OF HAND RECONSTRUCTION USING TUBED FLAPS Case No. 3: A 37-year-old man had a punch press injury suffering avulsion of the distal portion of the thumb and fractures of the proximal phalanx with amputation of the index finger through the mid proximal phalanx. 3B). 3B Stage I. The injuries to the fingers were closed primarily and this required removal of the remaining proximal phalanx of the index finger.
Abdominal Pedicle Flaps To The Hand & Forearm by John C. Kelleher