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  • Nenavaden zaplet pecljatega zadajšnjega interosalnega fascialnega režnja z distalno bazo = Unusual complication of distally based pedicled posterior interosseous fascialflap
    Janežič, Tomaž, 1958- ; Arnež, Zoran M., 1953-
    Background and methods. A case of a thirty two year old patient with a full thickness burn on the dorsum of her hand is presented. After the debridement the extensor of the long finger over the MCP ... joint was exposed. The defect wascovered with a distally based pedicled fascial posterior interosseous flap and a full thickness skin graft. Results. Postoperative course was uneventful.The splint holding the wrist in extension and fingers in physiological position was removed on the eleventh day following surgery. The flexion of the wrist and long finger was then substantially restricted with a bowing of the fascial pedicle under the skin. One month after the primary procedure the partial excision of the pedicle had been performed which did notgive a satisfactory result in terms of wrist and finger mobility. During the last surgical procedure a complete excision of the pedicle was performed after which the mobility of the wrist and finger is nearly normal. Conclusions. The authors think that such complication of the posterior interosseous flap has not been yet described in the literature and was due to immobillisation of the hand, relative shortage of the pedicle and scarring after the surgery. The authors suggest that the posterior interosceous flap should only be used for coverage of the defects with such localisation which does not require an immobilisation to bring the defect closer to the pivot point of the flap's pedicle. Furthermore the authors do not recommend the use of this flap in cases where prolonged postoperative immunobilisations is necessary which might cause "pedicle contracture".
    Source: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Let. 66, Suppl. 1, 1997, str. I-9-I-11)
    Type of material - article, component part
    Publish date - 1997
    Language - slovenian
    COBISS.SI-ID - 7205593

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