AI Article Synopsis
- First web contractures can arise from various causes such as nonthermal trauma, burns, congenital factors, and Dupuytren contracture.
- Mild cases may be treated with techniques like contracture release and skin grafting, while severe cases may need more complex solutions, as they create voids requiring additional coverage.
- Reconstructive options for severe cases include different flap methods, free tissue transfer, and techniques like distraction osteogenesis or pollicization for deeper webbing.
Article Abstract
» First web contractures can be due to nonthermal trauma, burns, congenital differences, and Dupuytren contracture.» Mild cases are managed with contracture release and full-thickness skin graft or when surrounding skin is pliable, Z-plasty.» Release of severe contractures creates a tetrahedral void that may require local or distant flap coverage. Reconstructive options include dorsal transposition flaps, regional rotation flaps, free tissue transfer, first metacarpal distraction osteogenesis with web deepening, or pollicization.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11495741 | PMC |
| http://dx.doi.org/10.2106/JBJS.OA.24.00025 | DOI Listing |
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