Beta
40976

Skin grafts Vs local skin flaps in management of contracted scar finger

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

General Surgery

Advisors

Murra, Ramadhan, Abou-El-Saoud, Mussttafa, Abou-Zaid, Muhammad

Authors

Nour-El-Din, Khaled

Accessioned

2017-07-12 06:39:59

Available

2017-07-12 06:39:59

type

M.Sc. Thesis

Abstract

Few structures of the human anatomy are as unique as the hand. The hand needs to be mobile in order to position the fingers and thumb. Adequate strength forms the basis for normal hand function. The hand also must be coordinated to perform fine motor tasks with precision. The structures that form and move the hand require proper alignment and control in order for normal hand function to occur.Contracture is defined as; chronic loss of joint motion due to structural changes, in non bony tissue (muscles, tendon, ligaments and skin).Finger contracture has many causes; the main causes are burn and trauma .there is other causes such as inflammation (such as scleroderma, rheumatoid arthritis), autoimmune diseases, tumors and masses.Sixteen patients presented with contracted fingers were managed over the past year. Patients were evaluated by history taking, physical examination, investigation, consent taking and photographs, and surgical intervention. The techniques used during the surgical intervention; Grafting (split thickness, full thickness) and Local flaps (z-plasty, cross finger flap, v-y plasty).The follow up period ranged from 3months 6months.The decision whether to use graft or flap in covering the raw area was according to the depth of the raw area. When bone, tendons or neurovascular bundle was exposed local flap was the choice for coverage. While shallow depth grafting was used. The goal of this study is restore functional, cosmetic acceptable of the finger after excision of the scar with restoring sensate, stable interphalangeal and metacarpophalangeal joints, adequate strength to resist the forces of other fingers, correct posture and positioning of the finger with a wide web space and mobility of the carpo –meta carpel joint with intrinsic muscles to aid prehension.

Issued

1 Jan 2012

DOI

http://dx.doi.org/10.21473/iknito-space/34913

Details

Type

Thesis

Created At

28 Jan 2023