| ORIGINAL ARTICLE |
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| Year : 2017 | Volume
: 25
| Issue : 1 | Page : 52-61 |
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Single-stage reconstruction of high-voltage electric burns sequelae of volar forearm using nerve grafts, short tendon grafts and microvascular flap
Rayidi V.K. Rao, Pigilam Suma, Rangachari Srikanth, Manajeet Patil
Department of Plastic Surgery, Nizam’s Institute of Medical Sciences, Hyderabad, Telangana, India
Correspondence Address:
Dr Pigilam Suma
Plot No. 14, Road No. 71, Filmnagar, Jubilee Hills, Hyderabad 500033, Telangana
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0971-653X.217041
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Introduction: A total of 10 patients underwent single-stage reconstruction of high-voltage electrical burn sequelae at the distal forearm and volar wrist, in patients with complete loss of motor and sensory function of the hand; all 10 were operated using interposition tendon grafts for the flexor digitorum profundus, nerve grafts for the median and ulnar nerves and the anterolateral thigh flap (ALT) for coverage; in addition, the fascial component of the flap was used to wrap the repaired finger flexors.
Materials and Methods: All the flaps survived, and eight of the 10 patients had S3 or S4 recovery of median nerve sensation.
Results: The final outcome measurement was done by adopting a variant of the abbreviated upper extremity functional index. The mean value for this was 19 of a possible 40 points (range in 10 patients −7 to 28).
Discussion: Single-stage reconstruction using short tendon grafts and nerve grafts is a useful procedure in high-voltage electrical burns.
Conclusion: The use of the ALT with vascularised fascia permits early finger flexor activity suitable for activities of daily living. |
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