Operative First Web Contracture Management: Current Strategies.
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 39440280.
- Also identified by DOI 10.2106/JBJS.OA.24.00025 and PMC identifier 11495741.
- Licence recorded as CC BY-NC-ND.
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Abstract
» First web contractures can be due to nonthermal trauma, burns, congenital differences, and Dupuytren contracture.» Mild cases are managed with contracture release and full-thickness skin graft or when surrounding skin is pliable, Z-plasty.» Release of severe contractures creates a tetrahedral void that may require local or distant flap coverage. Reconstructive options include dorsal transposition flaps, regional rotation flaps, free tissue transfer, first metacarpal distraction osteogenesis with web deepening, or pollicization.