Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
The pedicled abdominal flap is the fundamental reconstructive principle of restoring both form and function therefore guides the management of patients with defects in upper extremities. Present study was aimed to study of effectiveness in replacing damaged soft tissue of the hand and forearm by abdominal flap. Present study was single‐center, prospective, observational study, conducted in patients between 7‐50 years of age, with defects over distal forearm, hand and fingers exposing tendons, posted for repair by abdominal flap surgery. A total number of 24 patients with Hand and forearm defects were studied 87.5% (21) patients were males and 12.5% (3) were females. In 12 cases (50%) most common cause was road traffic accidents, followed by electric burns in 8 (33.34%) and work related trauma in 4 (16.66%). Dorsum of hand is the most common site involved in 12 patients, followed by dorsum of distal Forearm in 4.4 patients had palm defects and 4 with wrist defect. Size of the defect ranged from a minimum of 2x1 cm to a maximum of 10x6 cm. Average duration between admission of the patient and flap cover was 2.5 weeks. Superiorly based flaps were placed in 12 (50%), inferiorly based flap in 4(16.66%), Hypogastric flap in 6 (25%) and Louvre flap in 2(8.34%) patients. Average duration between flap cover and flap division was 4.5 weeks. Complications occurred in 25% cases. The shortest hospital stay was 1 week following trauma and >3 weeks following electric burns. The longest stay was 90 days, 75% cases went without any complications. Abdominal flaps has significant role in reconstruction and restoration of hand function and it can be considered the work horse for reconstruction of hand and distal forearm defects.
How to cite this article:
Mohd Rehan Qureshi. Study of Effectiveness in Replacing Damaged Soft Tissue of the Hand and Forearm by Abdominal Flap.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.482.486
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.482.486