Kuttler rag

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A Kuttler flap (also known as a "lateral VY plastic according to Kuttler") is a flap on the finger in which one or two triangular skin flaps are mobilized to cover a skin defect. The lobes contain blood vessels and nerves .

Details

This plastic flap is particularly suitable for defects that are oblique to the palm of the hand or for defects that run to the side. If a defect is sloping to the side, a rag will do. Lateral flaps can be moved further than those on the inner surface, so that larger defects can be covered. The remaining lateral third forms the distal base of the Kuttler flap, with the bevel cut about one to two millimeters away from the nail fold . The tip of the triangle can be displaced in the proximal direction up to the middle of the middle link . The blood supply to the flap is on the palm side. Such treatment is usually carried out under local anesthesia .

Aftercare

If a loose gauze bandage is used and the hand is immobilized, visible wound healing can be observed after one week. After about two more weeks, the finger is largely resilient again.

Individual evidence

  1. ^ A b Abdul Kader Martini, Wolfgang Daecke: Traumatological hand surgery . Springer-Verlag, Berlin / Heidelberg 2011, ISBN 978-3-642-00988-4 (illustrated).