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Correction of long standing proximal interphalangeal flexion contractures with cross finger flaps and vigorous postoperative exercises

Authors
 Soo Bong Hahn  ;  Ho Jung Kang  ;  Eung Shick Kang  ;  Yun Rak Choi 
Citation
 YONSEI MEDICAL JOURNAL, Vol.51(4) : 574-578, 2010 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2010
MeSH
Adult ; Contracture/rehabilitation ; Contracture/surgery* ; Exercise Therapy* ; Female ; Finger Joint/surgery* ; Humans ; Male ; Middle Aged ; Range of Motion, Articular ; Surgical Flaps*
Keywords
Flexion contracture ; finger ; surgical release ; cross finger flap ; vigorous extension exercise
Abstract
PURPOSE: We reviewed the results of cross finger flaps after surgical release and vigorous postoperative exercises for long-standing, severe flexion contractures of the Proximal Interphalangeal (PIP) joints of fingers. MATERIALS AND METHODS: In 9 patients, all contracted tissue was sequentially released and the resultant skin defect was covered with a cross-finger flap. The cause of the contracture was contact burn in 4, skin graft in 3, and a previous operation in 2. The mean followup period was 41.2 months. RESULTS: The mean flexion contracture/further flexion in the joints were improved from 73.4/87.8 degrees to 8.4/95.4 degrees at the last follow-up. A mean of 19.5 degrees of extension was achieved with vigorous extension exercise after the operation. The mean gain in range of motion (ROM) was 79.4 degrees. Near full ROM was achieved in 3 cases. There were no major complications. CONCLUSION: In severe flexion contractures with scarring of the PIP joints of fingers, cross finger flaps after sufficient release and vigorous postoperative exercise seems to be a reasonable option to obtain satisfactory ROM of the joints
Files in This Item:
T201001626.pdf Download
DOI
10.3349/ymj.2010.51.4.574
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Eung Shick(강응식)
Kang, Ho Jung(강호정) ORCID logo https://orcid.org/0000-0003-0273-1264
Choi, Yun Rak(최윤락)
Hahn, Soo Bong(한수봉)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/101145
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