Composite palmaris longus-venous flap for simultaneous reconstruction of extensor tendon and dorsal surface defects of the hand - Long-term functional result

Chih Hung Lin*, Fu Chan Wei, Yu Te Lin, Chien Tzung Chen

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

21 Scopus citations

Abstract

Soft tissue loss in the dorsum of the hand resulting from trauma often involves the extensor mechanism due to its thin skin coverage. When such composite skin and extensor tendon defects occur, the wound could be reconstructed with an ipsilateral forearm venous flap with accompanying palmaris longus tendon. Eighteen dorsal finger defects in 12 patients underwent composite venous flap and tendon transfers in the acute stage. We used both Buck-Gramcko and Tubiana's methods for objective functional assessments. With the former method, the average composite flexion, extension deficit, and total active motion were 207.2°, 39.0°, and 164.7°, respectively. The average score was 12.1 points, which quailfied for a "good" result. With Tubiana's method, the average active flexion was 4.9, and the average extension defect was 2.3. The average score was 7.2 point, which also qualified for a "good" result. Thus, a one-stage composite forearm venous flap could be used to reconstruct dorsal skin and tendon defects of the finger with a predictably good functional outcome.

Original languageEnglish
Pages (from-to)1118-1122
Number of pages5
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume56
Issue number5
DOIs
StatePublished - 05 2004

Keywords

  • Composite palmaris longus-venous flap
  • Extensor tendon defects of the hand
  • Venous flap

Fingerprint

Dive into the research topics of 'Composite palmaris longus-venous flap for simultaneous reconstruction of extensor tendon and dorsal surface defects of the hand - Long-term functional result'. Together they form a unique fingerprint.

Cite this