Clinical application of penta-flaps plastic operation for treatment of web contracture with volar finger contracture

Abstract

Objective To investigate the clinical efficacy of penta-flaps plastic operation in the treatment of web contracture with volar finger contracture. Methods From May 2012 to February 2015, 12 patients with web contracture and volar finger contracture were treated by penta-flaps plastic operation 0.5 to 3 years after injury. Penta-flaps were designed according to the contracted web. Simultaneously, the palm scar was released laterally at the level of metacarpophalangeal crease, and then the flaps staggered to cover the wound with one-stage correction. All the patients wore splint after surgery. Results All the flaps survived uneventfully except one flap occurred slight blood supply obstruction due to severe adhesion of finger web and healed by itself. All the patients were follow-up for 12 to 18 months postoperatively. The flaps were of suitable thickness, soft texture, good color and sensation recovery without contracture recurrence. Conclusion Application of penta-flaps plastic operation for treatment of web contracture with volar finger contracture can achieve satisfactory clinical efficacy, which is worthy of clinical promotion. Key words: Surgical flaps; Treatment outcome; Penta-flaps plastic operation; Web contracture