Purpose
The purpose of this report is to present the results of a dorsal rotation flap for
centralization in the treatment of radial longitudinal deficiency.
Methods
All patients surgically treated for radial longitudinal deficiency with a centralization
procedure and use of the dorsal rotation flap between 1996 and 2006 were retrospectively
reviewed.
Results
Twenty-one limbs in 15 patients treated with centralization using the dorsal rotation
flap were reviewed, with photographs of the scar available for review for 15 limbs
in 10 patients. There were no primary wound-healing problems, no hypertrophic scarring,
and no color mismatch. In the 15 limbs with available photographs, all scars were
rated as good. Use of this incision allowed good surgical access to the necessary
structures on the radial and ulnar side of the wrist to allow for centralization.
Conclusions
The dorsal rotation flap allows rotation of the skin in a radial direction while the
hand and carpus are rotated in an ulnar direction; the redundant skin on the ulnar
side of the wrist is rotated to compensate for the shortage of skin on the radial
side of the wrist. This report describes use of the dorsal rotation flap with no complications
attributable to the surgical approach.
Type of study/level of evidence
Therapeutic IV.
Key words
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Article info
Publication history
Accepted:
February 16,
2007
Received:
September 25,
2006
Footnotes
No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
Identification
Copyright
© 2007 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
