Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deutschen Plastischen Chirurgen
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Handchir Mikrochir Plast Chir · Apr 2008
Review Comparative Study[Soft-tissue reconstruction of the dorsum of the hand and finger to cover the extender tendons].
Small defects of extensor tendons can mostly be covered by local flaps. For larger defects the groin flaps, pedicled flaps from the forearm and free flaps are indicated. ⋯ With this study we want to illustrate the different procedures, compare their surgical techniques and outcomes and finally to rate the results. In the context of security, morbidity of the donor site and functional outcomes, our favourite flap is the lateral upper arm flap.
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Handchir Mikrochir Plast Chir · Apr 2008
Comparative Study[Revision surgery after carpal tunnel release using a posterior interosseous artery island flap].
The aim of this study is to evaluate the results of fasciocutaneous posterior interosseous artery island flaps in the treatment of recurrent or persistent carpal tunnel compression syndrome (CTS). ⋯ Protective coverage of the median nerve by use of a fasciocutaneous island flap after failure of carpal tunnel release provides a good gliding tissue cover and reduces the risk of adhesions between the nerve and the surrounding tissues after previous surgery. While this protection of the nerve can reduce painful symptoms it does not guarantee total pain relief in all patients. Pain relief and functional recovery strongly depend on the preexisting condition of the median nerve.