ABSTRACT
The treatment of electrical burn injuries in the hand is difficult and challenging
because the burn widely and deeply damages not only the skin and subcutaneous tissue,
but also tendon, muscle, ligaments, and bone. Compound defects of the skin and abductor
pollicis brevis tendon caused by an electrical injury were reconstructed using a free
dorsalis pedis flap including the extensor hallucis brevis tendon. This composite
flap is also applicable for reconstruction of thumb abduction, although its usefulness
has been reported for reconstruction of defects of the dorsal skin of the hand including
the extensor tendons.
KEYWORDS
Electrical burn - free dorsalis pedis flap with extensor hallucis brevis tendon -
thumb abduction
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Mutsumi OkazakiM.D.
Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University
of Tokyo
7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan
