SciELO - Scientific Electronic Library Online

 
vol.80 número1Evaluación clínica y radiológica de la instrumentación y artrodesis corta por vía posterior en fracturas toracolumbaresTratamiento de las fracturas mediodiafisarias y del tercio distal del femur con clavo endomedular retrogrado índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Articulo

Indicadores

  • No hay articulos citadosCitado por SciELO

Links relacionados

  • No hay articulos similaresSimilares en SciELO

Compartir


Revista de la Asociación Argentina de Ortopedia y Traumatología

versión On-line ISSN 1852-7434

Resumen

VALBUENA, Sebastián E; PEREIRA, Emanuel F; MASSA, Leandro N  y  COCOZZELLA, Luis A. Colgajo comisural palmar: su utilidad en el abordaje de la enfermedad de Dupuytren con compromiso de dedos contiguos. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2015, vol.80, n.1, pp. 30-34. ISSN 1852-7434.

Background: In Dupuytren's contracture deciding the type of surgical incision is extremely important, and several options were described. The aim of this study is to evaluate retrospectively the usefulness of palmar commissural flap in Dupuytren's disease with adjacent fingers involvement. Methods: Between April 2009 and December 2012, 32 patients with Dupuytren's disease were operated on by the authors. Twelve patients with at least 2 adjacent fingers involvement and the design of a palmar commissural flap. The flaps were evaluated at days 3-5, 15-21, 45-60, and 6 months post-surgery. At the end of the follow-up, recurrence, satisfaction and Quick Dash score were evaluated. Results: Thirteen palmar commissural flaps were performed in 12 patients (6 right hands and 6 left hands). The affected adjacent rays were the 4th and 5th fingers (8 cases); the 3rd, 4th and 5th fingers (3 cases), and the 3rd and 4th fingers (one case). Average distances of the palmar commissural flap, commissure-vertex was 2.23 cm (range 1.2-4.3), and that of the transverse 2.42 cm (range 1.6 to 3.8). In all cases it was performed according to preoperative planning resection of pathological cords and partial fasciectomy. One case presented distal necrosis, which was treated with open palm technique. Conclusions: The palmar commissural flap can identify both the digital pedicle as pathological structures. Its vascularization makes it a safe and easy flap dissection.

Palabras clave : Dupuytren; Flap; Incisions; Commissural flap; Commissure.

        · resumen en Español     · texto en Español     · Español ( pdf )

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License