Groin Flap for Management of Traumatic Soft Tissue Thumb Injuries
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 12
Abstract
There are many methods available for soft tissue coverage of traumatic thumb injuries. Some of them allow coverage of volar surface and some dorsal surface only. Although these surgical procedures allow for coverage of the defect, but have the major drawback of donor site morbidity, limited tissue for cover or complexity of procedure. We present an observational study of 10 cases of traumatic thumb injuries including volar, dorsal and circumferential tissue loss and also failed FDMA flaps managed with groin flap- a technically easier procedure with reliable blood supply and limited donor site morbidity and hidden donor site scar. In our study ipsilateral groin flap was used in patients with complete/incomplete volar or complete/incomplete dorsal soft tissue loss as well as in patients with circumferential loss. Groin flap was also used as a salvage procedure for the patients who had loss of FDMA flap. All patients regained adequate function of their hand with acceptable cosmetic results and no donor site morbidity. We conclude that groin flap can be used for partial or total soft tissue loss for volar as well as dorsal soft tissue loss and for circumferential tissue loss too. Groin flap although, does require the immobilization of arm for three weeks and are bulky which may require thinning of flap and many a times more than once but it is not demanding surgically, avoids donor site cosmetic morbidity, provides ample cover of tissue loss of thumb.
Authors and Affiliations
Dr Waseem Mushtaq Syed
Keywords
Related Articles
- EP ID EP505336
- DOI -
- Views 60
- Downloads 0
Rhinosporidiosis of Male Urethra Presented with Polypoidal Lesion Along with Uerethral Fistula Complicating the Treatment Option: Case Report
Rhinosporidiosis is a chronic granulomatous disease caused by a fungus, Rhinisporidium seeberi, a member of a group of novel aquatic parasites. Though the favoured site is the nasal mucosa, urethral involvement does rare...
Peripartum Management of Placenta Previa and Abruption Placenta in Rural Perspectives: A Real Test of Obstetrician’s Clinical and Surgical Skills
Introduction: Antepartum haemorrhage (APH) complicates 3-5% of all pregnancies. Abruption placenta and placenta previa contributes 60-70% of total causes of APH. It also predisposes a patient further for PPH and makes he...
Evaluation of Serum Alkaline Phosphatase and Acid Phosphatase in Relation to Abo Blood Groups and Genotypes of Male Blood Donors in University College Hospital Ibadan, Oyo State
Background: Blood consists of plasma, erythrocytes, leucocytes and platelets. The relationship between serum levels of alkaline phosphatase (ALP), total acid phosphatase (TAP), tartrate inhibited acid phosphatase (TIAP)...
Primary Cavernous Hemangioma of the Thyroid- “An Infrequent Case with An Unusual Presentation
Primary cavernous hemangioma of the thyroid is an extremely rare case with only 17 cases reported in literature. We are reporting an unusual case of a 75 year old female with a firm cystic swelling on the right lobe of t...
Incidence of Proprioceptive Deficits in Recurrent Lateral Ankle Sprain Among Young Adults
Background: Recurrent Lateral ankle sprains results to poorer ankle proprioception that has higher risk of ankle injury. Ankle injuries often lead to disruption of muscles and tendons with associated damage to inherent m...