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J Reconstr Microsurg 2006; 22(1): 033-036
DOI: 10.1055/s-2006-931904
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Restoration of Thumb Abduction Damaged by Electrical Burn Using the Free Dorsalis Pedis Flap with the Extensor Hallucis Brevis Tendon

H. Hasegawa1 , M. Okazaki1 , K. Sasaki1
  • 1Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, Japan
Further Information

Publication History

Accepted: September 20, 2005

Publication Date:
19 January 2006 (online)

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ABSTRACT

The treatment of electrical burn injuries in the hand is difficult and challenging because the burn widely and deeply damages not only the skin and subcutaneous tissue, but also tendon, muscle, ligaments, and bone. Compound defects of the skin and abductor pollicis brevis tendon caused by an electrical injury were reconstructed using a free dorsalis pedis flap including the extensor hallucis brevis tendon. This composite flap is also applicable for reconstruction of thumb abduction, although its usefulness has been reported for reconstruction of defects of the dorsal skin of the hand including the extensor tendons.

KEYWORDS

Electrical burn - free dorsalis pedis flap with extensor hallucis brevis tendon - thumb abduction

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Mutsumi OkazakiM.D. 

Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo

7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan