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Titolo:
The use of latissimus dorsi muscle flap in the aesthetical reconstruction of heat-press injury of the hand
Autore:
Hatoko, M; Muramatsu, T;
Indirizzi:
Nara Med Univ, Div Plast Surg, Kashihara, Nara 6340813, Japan Nara Med Univ Kashihara Nara Japan 6340813 Kashihara, Nara 6340813, Japan
Titolo Testata:
BURNS
fascicolo: 1, volume: 27, anno: 2001,
pagine: 75 - 80
SICI:
0305-4179(200102)27:1<75:TUOLDM>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
FASCIAL FLAP; FOREARM;
Keywords:
heat press injury; hand; latissimus dorsi muscle flap; aesthetic; reconstruction;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
11
Recensione:
Indirizzi per estratti:
Indirizzo: Hatoko, M Nara Med Univ, Div Plast Surg, 840 Shijocho, Kashihara, Nara 6340813, Japan Nara Med Univ 840 Shijocho Kashihara Nara Japan 6340813 3, Japan
Citazione:
M. Hatoko e T. Muramatsu, "The use of latissimus dorsi muscle flap in the aesthetical reconstruction of heat-press injury of the hand", BURNS, 27(1), 2001, pp. 75-80

Abstract

We present a successful case of aesthetic reconstruction utilizing free latissimus dorsi muscle flap transfer. A large quantity of skin of the dorsumof hand and finger was lost. The dorsum of the index, long and ring fingers was severely damaged, such that extensor tendons were necrotic and all digital bones and the second metatarsal bone were exposed with partial necrosis. In addition, the proximal interphalangeal joints (PIP) were also exposed. To cover exposed bones and the tendons of dorsum of the hand, a free latissimus dorsi muscle flap was transferred, and then meshed skin covered themuscle, resulting in a mitten-like condition. After cutting the grafted muscle and skin to divide fingers, the grafted muscle was shaved to create the contour of fingers and dorsum of the hand, and then sheet grafting was performed. Six years after the operation. although the movement of fingers was restricted, an acceptable contour of the hand was obtained. The patient is satisfied with the result and does not desire any further surgery. In conclusion, the use of latissimus dorsi muscle flap is a method of choice not only to cover damaged hand but also to give contour in the aesthetic reconstruction of a hand presenting after heat-press injury. (C) 2001 Elsevier Science Ltd and ISBI. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/09/20 alle ore 04:54:09