An Innovative Technique of Reconstructing Combined Extensor Tendon Zone (z5 and z4) Defect, Utilizing an Adjacent Proximal (z6) Tendon, as a Distally Based Tendon Flip Flap, in the Index Finger

Delayed reconstruction of segmental extensor tendon defects of the hand has been described with auto-tendon grafting or by using local flaps harvested from the native tendon. These reconstructive techniques have been described in certain extensor tendon zones, mainly in zones 2, 4, and 5 of the hand...

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Main Authors: Narendra S. Mashalkar, Pooja Thoppal Shiva, Joseph Kattady
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc.
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1802316
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author Narendra S. Mashalkar
Pooja Thoppal Shiva
Joseph Kattady
author_facet Narendra S. Mashalkar
Pooja Thoppal Shiva
Joseph Kattady
author_sort Narendra S. Mashalkar
collection DOAJ
description Delayed reconstruction of segmental extensor tendon defects of the hand has been described with auto-tendon grafting or by using local flaps harvested from the native tendon. These reconstructive techniques have been described in certain extensor tendon zones, mainly in zones 2, 4, and 5 of the hand. Borrowing auto-tendon grafts will have donor site morbidity. The use of available local tendon as flap may be considered, the tendon harvesting being done from a part of the native tendon from either proximal or distal location. The index and little fingers have the advantage of having two tendons to do the same function and hence these tendons may be utilized as a whole to our advantage as distally based tendon flip flap to reconstruct zone 4 and 5 extensor tendon defects with good functional outcomes.
format Article
id doaj-art-c6a1367a175e42e2b9a4365a55a1854f
institution Kabale University
issn 0970-0358
1998-376X
language English
publisher Thieme Medical Publishers, Inc.
record_format Article
series Indian Journal of Plastic Surgery
spelling doaj-art-c6a1367a175e42e2b9a4365a55a1854f2025-01-29T01:05:25ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X10.1055/s-0045-1802316An Innovative Technique of Reconstructing Combined Extensor Tendon Zone (z5 and z4) Defect, Utilizing an Adjacent Proximal (z6) Tendon, as a Distally Based Tendon Flip Flap, in the Index FingerNarendra S. Mashalkar0https://orcid.org/0000-0001-9903-1154Pooja Thoppal Shiva1Joseph Kattady2Department of Plastic Surgery and Burns, St John's Medical College, Bangalore, Karnataka, IndiaDepartment of Plastic Surgery and Burns, St John's Medical College, Bangalore, Karnataka, IndiaDepartment of Plastic Surgery and Burns, St John's Medical College, Bangalore, Karnataka, IndiaDelayed reconstruction of segmental extensor tendon defects of the hand has been described with auto-tendon grafting or by using local flaps harvested from the native tendon. These reconstructive techniques have been described in certain extensor tendon zones, mainly in zones 2, 4, and 5 of the hand. Borrowing auto-tendon grafts will have donor site morbidity. The use of available local tendon as flap may be considered, the tendon harvesting being done from a part of the native tendon from either proximal or distal location. The index and little fingers have the advantage of having two tendons to do the same function and hence these tendons may be utilized as a whole to our advantage as distally based tendon flip flap to reconstruct zone 4 and 5 extensor tendon defects with good functional outcomes.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1802316combined extensor tendon defecttendon flip flapindex finger
spellingShingle Narendra S. Mashalkar
Pooja Thoppal Shiva
Joseph Kattady
An Innovative Technique of Reconstructing Combined Extensor Tendon Zone (z5 and z4) Defect, Utilizing an Adjacent Proximal (z6) Tendon, as a Distally Based Tendon Flip Flap, in the Index Finger
Indian Journal of Plastic Surgery
combined extensor tendon defect
tendon flip flap
index finger
title An Innovative Technique of Reconstructing Combined Extensor Tendon Zone (z5 and z4) Defect, Utilizing an Adjacent Proximal (z6) Tendon, as a Distally Based Tendon Flip Flap, in the Index Finger
title_full An Innovative Technique of Reconstructing Combined Extensor Tendon Zone (z5 and z4) Defect, Utilizing an Adjacent Proximal (z6) Tendon, as a Distally Based Tendon Flip Flap, in the Index Finger
title_fullStr An Innovative Technique of Reconstructing Combined Extensor Tendon Zone (z5 and z4) Defect, Utilizing an Adjacent Proximal (z6) Tendon, as a Distally Based Tendon Flip Flap, in the Index Finger
title_full_unstemmed An Innovative Technique of Reconstructing Combined Extensor Tendon Zone (z5 and z4) Defect, Utilizing an Adjacent Proximal (z6) Tendon, as a Distally Based Tendon Flip Flap, in the Index Finger
title_short An Innovative Technique of Reconstructing Combined Extensor Tendon Zone (z5 and z4) Defect, Utilizing an Adjacent Proximal (z6) Tendon, as a Distally Based Tendon Flip Flap, in the Index Finger
title_sort innovative technique of reconstructing combined extensor tendon zone z5 and z4 defect utilizing an adjacent proximal z6 tendon as a distally based tendon flip flap in the index finger
topic combined extensor tendon defect
tendon flip flap
index finger
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1802316
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