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Abstracts
Aim: The article presents outcome of treatment of 31 patients, 28 men and 3 women, at a mean age of 37 years with excessive soft tissue defects within the hand, which were fitted with groin flaps.
Material and methods: Long-term outcomes were assessed at a mean of 3,7 years following surgery (range 3–10) in 18 patients (58%) in a form of phone interview.
Results: All flaps eventually healed, however complications occurred in 8 patients (26%). At a follow-up assessment most of the patients complained of slight pain when using the hand. Only 2 patients achieved full range of motion of the fingers in the operated hand, and remaining 16 reported various degree of limited fingers’ movements, both flexion and extension. None of patients considered his/her hand fully dexterous and a mean quickDASH score was 21,5 points what shows moderate impairment of hand function. The poorest outcomes were achieved in patients with tissue defects in fingers and in those who had performed simultaneous tendon repair.
Conclusion: The results of this study show that a groin flap is useful in reconstruction of large and moderate tissue defects in the hand, which do not fit for covering by conventional methods.
Material and methods: Long-term outcomes were assessed at a mean of 3,7 years following surgery (range 3–10) in 18 patients (58%) in a form of phone interview.
Results: All flaps eventually healed, however complications occurred in 8 patients (26%). At a follow-up assessment most of the patients complained of slight pain when using the hand. Only 2 patients achieved full range of motion of the fingers in the operated hand, and remaining 16 reported various degree of limited fingers’ movements, both flexion and extension. None of patients considered his/her hand fully dexterous and a mean quickDASH score was 21,5 points what shows moderate impairment of hand function. The poorest outcomes were achieved in patients with tissue defects in fingers and in those who had performed simultaneous tendon repair.
Conclusion: The results of this study show that a groin flap is useful in reconstruction of large and moderate tissue defects in the hand, which do not fit for covering by conventional methods.
Publisher
Journal
Year
Volume
Issue
Pages
32-38
Physical description
Dates
published
2023
Contributors
author
References
Document Type
Publication order reference
Identifiers
Biblioteka Nauki
58661392
YADDA identifier
bwmeta1.element.ojs-doi-10_5604_01_3001_0015_8478
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