| Full-Thickness Grafting From the Ulnar Border of the Palm: Outcome and Donor-Site Morbidity. | |
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MedLine Citation:
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PMID: 21508825 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BACKGROUND:: Full-thickness grafting from the ulnar border of the palm is an acceptable choice to cover appropriately sized defects of the volar surface of the hand. The outcome and donor-site morbidity are discussed. PATIENTS:: Twenty-two patients with variably located defects were treated with this technique. Mean age was 26.6 years and mean graft size was 3.8 × 1.6 cm. METHODS:: A number 15 scalpel was used to harvest the graft in a subdermal plane. The graft was secured with a tie-over dressing. The donor-site was closed primary with a continuous intradermal or "over-and-over" suture with few interrupted stitches. RESULTS:: Color and texture match were adequate in 91% of the grafts. A contour defect with loss of the normal convexity of the ulnar border of the palm was noticed in 77% of donor sites. Hypertrophic scarring occurred in 3 patients (14%). Sensation in the 4 grafts covering fingertip areas was adequate (mean static 2 point discrimination: 5.5 mm). Mean follow-up was 12.7 months. CONCLUSION:: The technique is useful in appropriately sized defects of the volar hand (within 6 × 3 cm). Donor-site morbidity and alternative techniques should be adequately discussed with the patient preoperatively. |
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Authors:
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Ahmed M Hashem |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-4-19 |
Journal Detail:
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Title: Annals of plastic surgery Volume: - ISSN: 1536-3708 ISO Abbreviation: - Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-4-21 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7805336 Medline TA: Ann Plast Surg Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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From the Department of Surgery, Cairo University, Cairo, Egypt. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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