%0 Journal Article %1 Meyer1981 %A Meyer, R. D. %A Gould, J. S. %A Nicholson, B. %D 1981 %J South Med J %K Burns; Cerebral Palsy; Cerebrovascular Disorders; Contracture; Humans; Surgical Flaps; Thumb %N 10 %P 1204--1208 %T Revision of the first web space: technics and results. %V 74 %X Between 1975 and 1980, 91 patients in our series with involvement of 103 webs had revision of a contracted first web space. The five main causes of impairment were burns, trauma, congenital defects, cerebral palsy, and cerebrovascular accident. Technics used were simple Z-plasty; four-flap Z-plasty; modified double-opposing Z-plasty; and rotational flaps from the dorsum of the thumb, index finger, or hand. No pedicled, tubed, or distant flaps were needed. Simple Z-plasty was sufficient for increases to 1 cm; for greater increases a modified double-opposing Z-plasty or local rotational flap was necessary. The modified double-opposing Z gave excellent depth. Release of all contracting elements and addition of sufficient supple skin to the web are required for success.

@article{Meyer1981, abstract = {Between 1975 and 1980, 91 patients in our series with involvement of 103 webs had revision of a contracted first web space. The five main causes of impairment were burns, trauma, congenital defects, cerebral palsy, and cerebrovascular accident. Technics used were simple Z-plasty; four-flap Z-plasty; modified double-opposing Z-plasty; and rotational flaps from the dorsum of the thumb, index finger, or hand. No pedicled, tubed, or distant flaps were needed. Simple Z-plasty was sufficient for increases to 1 cm; for greater increases a modified double-opposing Z-plasty or local rotational flap was necessary. The modified double-opposing Z gave excellent depth. Release of all contracting elements and addition of sufficient supple skin to the web are required for success.}, added-at = {2014-07-19T20:47:40.000+0200}, author = {Meyer, R. D. and Gould, J. S. and Nicholson, B.}, biburl = {https://www.bibsonomy.org/bibtex/20f232d6a14d503c7cd405b4365bf688c/ar0berts}, groups = {public}, interhash = {e817ab4d62a3b45bda190cb1f9d8be6d}, intrahash = {0f232d6a14d503c7cd405b4365bf688c}, journal = {South Med J}, keywords = {Burns; Cerebral Palsy; Cerebrovascular Disorders; Contracture; Humans; Surgical Flaps; Thumb}, month = Oct, number = 10, pages = {1204--1208}, pmid = {7292059}, timestamp = {2014-07-19T20:47:40.000+0200}, title = {Revision of the first web space: technics and results.}, username = {ar0berts}, volume = 74, year = 1981 }