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Modified Dorsal Rotation Advancement Flap for Release of the Thumb Web Space

From the Orthopaedic Department, Cairo University, Cairo, Egypt

Correspondence: Dr Hisham Abdel Ghani, 5, Murad St., Giza 12511, Egypt. Tel.: +2012 7458911; fax: +20 277 443 23. E-mail: hisham{at}medscape.com

The dorsal rotational advancement flap described by Buck-Gramcko in 1998 is a good local flap for release of the thumb index web space. This paper describes a modification which broadens the apex of the flap and increases its length. This modification provides a long wide flap which releases the thumb index web space with suture lines far beyond the web. In addition, it provides a release of the palmar skin even when very tight in severe narrowing of the web. It is suitable for release of thumb–index syndactyly, severe narrowing of the web in thumb hypoplasia and congenital clasped thumb.

Key Words: thumb index syndactyly • clasped thumb • hypoplastic thumb • release of first web

Journal of Hand Surgery (British and European Volume), Vol. 31, No. 2, 226-229 (2006)
DOI: 10.1016/J.JHSB.2005.10.004


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