Yang C, Yang Y, Zhong W, Li B, Li F. Comparison Study of 5-flap Z-Plasty and Double Z-Plasty for Interdigital Pocket Web Contractures.
J Hand Surg Am 2023:S0363-5023(22)00713-4. [PMID:
36623947 DOI:
10.1016/j.jhsa.2022.11.011]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Revised: 11/15/2022] [Accepted: 11/30/2022] [Indexed: 01/09/2023]
Abstract
PURPOSE
The aim of this study was to compare the improvement in abduction and change in web slope between 5-flap z-plasty and double z-plasty for post-burn or post-trauma interdigital pocket web contractures.
METHODS
We retrospectively reviewed 16 webs in 11 patients with post-burn or post-trauma interdigital pocket web contractures. Seven patients underwent 5-flap z-plasty and 4 double z-plasty. The abduction and slope angles of the affected fingers were measured before surgery and every 3 months after surgery.
RESULTS
The follow-up time ranged from 12 to 36 months. The postoperative abduction angle improved in both groups. There was an increase of 19° ± 4° in the mean abduction angle after surgery in the 5-flap z-plasty group compared with a mean of 12° ± 2° in the double z-plasty group; the postoperative decrease in the web slope angle was 30° ± 5° and 22° ± 2°, respectively. All patients were able to actively move the affected webs and fingers with no pain or other discomfort.
CONCLUSIONS
Five-flap z-plasty can be considered a better alternative to double z-plasty for interdigital pocket web contractures based on the improvement in abduction angle and changes in the slope angle.
TYPE OF STUDY/LEVEL OF EVIDENCE
Therapeutic IV.
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