Quotation from: Manual of SurgeryWritten by: Alexander Miles and Alexis Thomson |
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Another modification is to raise the flap but leave it connected at both ends like the piers of a bridge; this method is well suited to defects of skin on the dorsum of the fingers, hand and forearm, the bridge of skin is raised from the abdominal wall and the hand is passed beneath it and securely fixed in position; after an interval of 14 to 21 days, when the flap is assured of its blood supply, the piers of the bridge are divided (Fig. 1). With undermining it is usually easy to bring the edges of the gap in the abdominal wall together, even in children; the skin flap on the dorsum of the hand appears rather thick and prominent--almost like the pad of a boxing-glove--for some time, but the restoration of function in the capacity to flex the fingers is gratifying in the extreme.
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