TIBIALIS ANTERIOR FLAP WITH EXTENSOR TENDONS FOR RECONSTRUCTION OF DORSAL HAND DEFECTS

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DEHGHANI MOHAMMAD; TASLIMI R.

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Paper Information

Journal: IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY Year:2005 | Volume:4 | Issue:1 (13) Page(s): 70-74

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Information Journal Paper

Title

TIBIALIS ANTERIOR FLAP WITH EXTENSOR TENDONS FOR RECONSTRUCTION OF DORSAL HAND DEFECTS

Author(s)

DEHGHANI MOHAMMAD | TASLIMI R. | Issue Writer Certificate

Keywords

SURGICAL FLAPSQ4

HAND INJURIESQ4

TENDON INJURIESQ3

Abstract

Background: Need for progressive methods of reconstructive surgery for hand is a rule. Many surgeries are multistage, including coverage and tendon separately. Present method includes single stage of tibialis anterior flap with extensor tendons for reconstruction of dorsal hand defects simultaneously. Therefore rehabilitation and start of range of motion becomes possible and adhesion becomes minimal. Methods: Six patients with extensive dorsal hand defects were operated micro surgically. After debridement of recipient site, free flap was removed from donor site. Then vascular anastomosis and tendon graft was done. After Operation 4 weeks was immobilized and then rehabilitation was started. Results: Overall results were 85% range of motion (compared to opposite side) and 83% strength and release. Extension lag was 20%. Conclusion: If microsurgery is possible (both equipment and surgeon experience), reconstruction of hand defects (zone 4 and 5) can be treated with T.A. Free flap with extensor tendons. Then ROM can be started as soon as possible thus adhesion is minimal and final ROM is maximal.

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APA: Copy

DEHGHANI, MOHAMMAD, & TASLIMI, R.. (2005). TIBIALIS ANTERIOR FLAP WITH EXTENSOR TENDONS FOR RECONSTRUCTION OF DORSAL HAND DEFECTS. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, 4(1 (13)), 70-74. SID. https://sid.ir/paper/85409/en

Vancouver: Copy

DEHGHANI MOHAMMAD, TASLIMI R.. TIBIALIS ANTERIOR FLAP WITH EXTENSOR TENDONS FOR RECONSTRUCTION OF DORSAL HAND DEFECTS. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY[Internet]. 2005;4(1 (13)):70-74. Available from: https://sid.ir/paper/85409/en

IEEE: Copy

MOHAMMAD DEHGHANI, and R. TASLIMI, “TIBIALIS ANTERIOR FLAP WITH EXTENSOR TENDONS FOR RECONSTRUCTION OF DORSAL HAND DEFECTS,” IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, vol. 4, no. 1 (13), pp. 70–74, 2005, [Online]. Available: https://sid.ir/paper/85409/en

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