The role of pedicled abdominal flaps in hand and forearm composite tissue injuries: Results of technical refinements for safe harvest

A. M. Acharya, N. Ravikiran, K. N. Jayakrishnan, Anil K. Bhat

Research output: Contribution to journalArticle

Abstract

We evaluated the outcome of new technical refinements in abdominal flap coverage of major defects in upper limb for its reliability and safety. 68 patients were assessed for indications, additional procedures, complications and DASH questionnaire evaluation at the end of a year. The mean size of flap was 56 cm 2 (range 6–250 cm 2 ). Median DASH score was 11.5 (range: 0–63). Hand stiffness was observed in 39% of patients. However, this was absent in whom prophylactic pinning of metacarpophalangeal joints were done in James position. Abdominal flaps give satisfactory results in hand injuries. Competent hand therapy program is essential to get best results.

Original languageEnglish
Pages (from-to)369-376
Number of pages8
JournalJournal of Orthopaedics
Volume16
Issue number4
DOIs
Publication statusPublished - 01-07-2019

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All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine

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