TY - JOUR
T1 - The thenar flap—An analysis of its use in 150 cases
AU - Melone, Charles P.
AU - Beasley, Robert W.
AU - Carstens, John H.
PY - 1982
Y1 - 1982
N2 - The thenar flap applied skillfully is consistently an excellent method of restoring major soft tissue losses from the distal phalanx for all age groups. Its advantages are (1) its perfect tissue match, (2) its abundance of subcutaneous tissues, and (3) its inconspicuous donor site. In this series of 150 cases, thenar donor site problems were infrequent and joint contractures developed in only six (4%) of the patients, all of whom received trauma to the finger joint in addition to the distal amputation. Complications can be avoided by observing three cardinal technical principles. (1) Design the flap out on the thumb near the metacarpophalangeal (MP) joint crease, avoiding the midpalmar area. (2) Fully flex the MP joint, and when possible the distal interphalangeal (IP) joint, of the recipient finger to minimize proximal IP joint flexion. (3) Sever the pedicle after 10 to 14 days and immediately start active exercises.
AB - The thenar flap applied skillfully is consistently an excellent method of restoring major soft tissue losses from the distal phalanx for all age groups. Its advantages are (1) its perfect tissue match, (2) its abundance of subcutaneous tissues, and (3) its inconspicuous donor site. In this series of 150 cases, thenar donor site problems were infrequent and joint contractures developed in only six (4%) of the patients, all of whom received trauma to the finger joint in addition to the distal amputation. Complications can be avoided by observing three cardinal technical principles. (1) Design the flap out on the thumb near the metacarpophalangeal (MP) joint crease, avoiding the midpalmar area. (2) Fully flex the MP joint, and when possible the distal interphalangeal (IP) joint, of the recipient finger to minimize proximal IP joint flexion. (3) Sever the pedicle after 10 to 14 days and immediately start active exercises.
UR - http://www.scopus.com/inward/record.url?scp=0020046003&partnerID=8YFLogxK
U2 - 10.1016/S0363-5023(82)80182-2
DO - 10.1016/S0363-5023(82)80182-2
M3 - Article
C2 - 7086099
AN - SCOPUS:0020046003
SN - 0363-5023
VL - 7
SP - 291
EP - 297
JO - Journal of Hand Surgery
JF - Journal of Hand Surgery
IS - 3
ER -