Submit Article
Back to Journal

SM Surgery Journal

Bilateral Manta Ray Flap to Treat Congenital First Interdigital Space Contractures

[ ISSN : 3067-9931 ]

Abstract
Details

Received: 25-Sep-2017

Accepted: 20-Oct-2017

Published: 21-Oct-2017

Mini Review | Volume 3 - Issue 2 | Article DOI :

Download PDF

Diego Colin Vega1*, Julio Palacios Juárez2 , Jesús Morales Maza3 , Gustavo Ayala Azuara4 , Rodolfo L Ríos Lara y López1 , Jessica E Figueroa Estrada5 , Mauricio Zúñiga Zamora6 , Daniel A Vargas Velásquez7 , Ludivina A Cortés Martínez8 and Cristian B Castro Jadan6

1Department of Plastic and Reconstructive Surgery, Hospital General de México, Mexico

2Department of Plastic and Reconstructive Surgery, Hospital Regional de Alta Especialidad de Ixtapaluca,Mexico

3Department of Surgery, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico

4Policlínica Imagen, Plastic Surgery Center, Mexico

5American British Cowdray Medical Center, Santa Fé, Mexico City

6Department of Surgery, Hospital Regional de Alta Especialidad de Ixtapaluca, Mexico

7Department of Surgery, Hospital General de México Dr. Eduardo Liceaga, Mexico

8Department of Anesthesiology, Hospital Angeles Lomas, Mexico

Corresponding Author:

Diego Colin Vega, Department of Plastic and Reconstructive Surgery, Hospital General de México, Lancaster #31 Int. 201. Col. Juárez. Del. Cuauthémoc. C.P. 06600. Mexico,

Keywords

First interdigital space contracture; Local flap; Release of first interdigital space

Abstract

Undoubtedly, the main function of the hand is to perform a palmar and pincer grasp. This capacity may be impaired in diverse conditions, specifically, when there is a hand contracture in adduction or in severe cases of decreased first interdigital space. Many techniques are available in order to free the first interdigital space; options include skin grafts, local flaps and free flaps. We describe the use of the bilateral “manta ray flap”, in order to free the space simultaneously in both hands. As described by Coombs and Thomas, this flaps confer the advantages of utilizing the skin in the first interdigital space as well as the skin from the lateral areas of the adjacent fingers in order to cover completely the defect, in addition to provide a coetaneous coverage with adequately vascularized, sensitive and tension-free skin. Furthermore, no skin grafts or free flaps, with its poor aesthetic outcome and associated morbidity were required.

Citation

Vega DC, Juárez JP, Maza JM, Azuara GA, Lara y López RLR, Estrada JEF, et al. Bilateral Manta Ray Flap to Treat Congenital First Interdigital Space Contractures. SM J Surg.2017; 3(2): 1014.