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Skin retraction is a commonly observed complication of severe joint stiffness in the hand. After freeing the joint, this raises the problem of closing the skin without tension to avoid necrosis, disunion or pain during early rehabilitation and splinting. We have used a simple rotation flap for PIP extension (and hyperextension) stiffness and a "castle" flap for PIP flexion retraction and for both extension and flexion stiffness of the MPJ. It consists in withdrawing the skin (dorsal or palmar) of the phalanx distal to the freed joint. We have used this flap in 13 clinical cases of severe stiffness and it allowed wide access to all structures involved and facilitated early post-operative mobilization.
G Foucher, and
S Fehki, and
L Erhard
September 1968,
Schweizerische medizinische Wochenschrift,
G Foucher, and
S Fehki, and
L Erhard
May 1979,
Klinicheskaia meditsina,
G Foucher, and
S Fehki, and
L Erhard
January 1968,
Zentralblatt fur Chirurgie,
G Foucher, and
S Fehki, and
L Erhard
January 1949,
Berliner und Munchener tierarztliche Wochenschrift,
G Foucher, and
S Fehki, and
L Erhard
February 1954,
Nordisk medicin,
G Foucher, and
S Fehki, and
L Erhard
March 1969,
Die Medizinische Welt,
G Foucher, and
S Fehki, and
L Erhard
March 1977,
Dermatologische Monatschrift,
G Foucher, and
S Fehki, and
L Erhard
January 1984,
Acta Universitatis Palackianae Olomucensis Facultatis Medicae,
G Foucher, and
S Fehki, and
L Erhard
April 1967,
Nihon Seikeigeka Gakkai zasshi,
G Foucher, and
S Fehki, and
L Erhard
February 1942,
California and western medicine,
