Journal of the Korean Burn Society (대한화상학회지)

Korean Burn Society (대한화상학회)
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Lateral Arm Free Flap Reconstruction in a Patient with Severe Burn Scar Contracture of the Bilateral First Web Space

외측 상완 유리 피판을 이용한 양측 제1수지간 중증 화상 반흔 구축의 재건

  • Yoon, Taekeun (Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Eun, Seokchan (Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine)
  • 윤태근 (분당서울대학교병원 성형외과학교실) ;
  • 은석찬 (분당서울대학교병원 성형외과학교실)
  • Received : 2020.08.25
  • Accepted : 2021.09.24
  • Published : 2021.12.31
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Abstract

An anatomically normal first web space is essential for optimal prehensile movements of the thumb and hand. A 28-year-old woman presented with severe scarring and contractures of the first web space of both hands, following a flame burn injury sustained 25 years prior to presentation. First web space contracture may occur secondary to severe injuries, burns (as observed in our patient), or congenital hand anomalies. A significant amount of additional skin is required to release a severe first web space contracture. Reconstruction of wide areas of contractures using only local flaps is challenging. Among other free flaps used in clinical practice, the thinned lateral arm free flap provides flexible vascularized tissue for reconstruction of the skin after severe first web space contracture release. Reconstruction using lateral arm free flaps facilitated thumb abduction and opposition (which were initially difficult) and improved hand function in our patient.

Keywords

References

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