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  Indian J Med Microbiol
 

Figure 3: (Serial no. 3 and 4 in Table 1). (a) Bilateral contracture of the hand and elbow with severely contracted palm. Groin and abdominal flaps were used after release of contractures. (b) Active finger flexion and thumb opposition. (c) Dorsal aspect. Posterior interosseous artery flap after thumb web release was done as the first step, elsewhere. (d) Patient is able to write legibly at a reasonable speed. (e) Patient is at ease in using a mobile

Figure 3: (Serial no. 3 and 4 in Table 1). (a) Bilateral contracture of the hand and elbow with severely contracted palm. Groin and abdominal flaps were used after release of contractures. (b) Active finger flexion and thumb opposition. (c) Dorsal aspect. Posterior interosseous artery flap after thumb web release was done as the first step, elsewhere. (d) Patient is able to write legibly at a reasonable speed. (e) Patient is at ease in using a mobile