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Dorsal metacarpal adipofascial flaps for palmar finger and hand reconstruction. 2006

Kiyoshi Onishi, and Yu Maruyama
Department of Plastic and Reconstructive Surgery, Toho University Ohashi Medical Center, Tokyo, Japan. prsoni@med.toho-u.ac.jp

Palmar finger and hand soft tissue reconstruction using a dorsal metacarpal adipofascial flap as well as using a split-thickness skin graft obtained from a nonweight-bearing area of the sole is reported. Two cases of posttraumatic palmar hand scar contracture, 1 case of postburn palmar hand scar contracture, and 1 case of excisional palmar finger defect were repaired using this operation. Excellent results were obtained in all cases without any complications. This procedure is thought to be an effective method having many advantages and bringing about satisfactory results esthetically as well.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D002921 Cicatrix The fibrous tissue that replaces normal tissue during the process of WOUND HEALING. Scars,Cicatrization,Scar,Scarring
D003286 Contracture Prolonged shortening of the muscle or other soft tissue around a joint, preventing movement of the joint. Contractures
D005205 Fascia Layers of connective tissue of variable thickness. The superficial fascia is found immediately below the skin; the deep fascia invests MUSCLES, nerves, and other organs.
D005260 Female Females
D005385 Fingers Four or five slender jointed digits in humans and primates, attached to each HAND. Finger
D006225 Hand The distal part of the arm beyond the wrist in humans and primates, that includes the palm, fingers, and thumb. Hands
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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