•  
  •  
 

Subject Area

Plastic Surgery

Article Type

Original Study

Abstract

Background The success of a first web-space contracture release is dependent on the individual parameters of thumb movement. Examining these parameters individually, it is possible to predict which components are important for providing successful outcomes. Objectives To study different options to the first web-space reconstruction. Patients and methods A clinical trial study was conducted, including 29 patients with the first-web deformities: group A included nine patients managed by five flaps. Group B included seven patients managed by posterior interosseous flap. Group C included three patients managed by the first dorsal metacarpal flap. Group D included six patients managed by Z-plasty. Group E included four patients managed by split-thickness skin graft (STSG). Results The results revealed that there was no significant difference between the studied groups regarding postoperative thumb opposition and abduction and the first web-space angle, however, there was a significant increase in thumb opposition and abduction and the first web-space angle postoperatively. Conclusion Success of a release is related to the amount of opposition obtained, and it is difficult to achieve equivalent opposition to the unaffected hand. Grip strength and opposition remain decreased following contracture release.

Download

Share

COinS