c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Digital Adipofascial Turndown Flap: 4

A D V E R T I S E M E N T

   
 

The base and flap are outlined. This facilitates mobilizing the flap and not violating the base tissue.       

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Digital Adipofascial Turndown Flap: 5

A D V E R T I S E M E N T

   
 

The next key technical challenge is to elevate the subcutaneous layer off the paratenon of the tendon without violating the paratenon. The paratenon is essential for the blood supply of the skin flaps and for later excursion of the tendon.       

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Digital Adipofascial Turndown Flap: 6

A D V E R T I S E M E N T

   
 

By gently lifting up on the subcutaneous tissue, a scalpel cut will allow you to find the plane between fat and paratenon.       

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This page was last modified on 4/5/2011.