THREE Y-V FLAP FOR RELEASING OF FIRST WEB SPACE CONTRACTURE OF THE HAND

Volume 13 , Issue 4 , July 2025 , Pages 395-402

Authors

Kosar Salahaldin Ahmed 1 ; Dana Abdulmajid Abdulkarim 2

1 Department of Burn and Plasti c Surgery, Sulaimani Emergency Hospital, Kurdistan Region, Iraq.

2 Department of Surgery, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.

DOI logo 10.17656/jsmc.10434

Keywords

Abstract

Background
First web space contracture could be caused by burns, infection, trauma, paralytic, arthritis, congenital
abnormality, and abnormal immobilization that led to functional limitation of the surgical procedure, including
three Y-Vfl ap.
Objectives
To review the outcome of patients with a contracture of the fi rst web space that released contracture using
3Y-V fl aps and evaluate the opening degree of the fi rst web space angle.
Patients and Methods
Twenty-eight patients with post-burn contracture of the fi rst web space at Sulaimani Burn and Plastic Surgery
Hospital were included from April 2019 to April 2022. The patients were treated using the 3 Y-V plasty
technique, and pre-/post-operative angles were measured with a goniometer.
Results
The mean age of the studied patients was 36.9±9.0. The angle was improved with a preoperative mean value of
39.26 to 58.75 after the operation. Among four recurrent contracture cases, three were due to electrical burns,
while another was caused by fl ap necrosis. Small pieces of skin graft were not the cause of recurrence in this
study.
Conclusion
Three Y-V plasty is a successful surgical intervention in reconstructing the fi rst web space contracture. However,
we suggest excluding patients who cannot use their hands in their daily activities, especially when the
contracture is due to electrical burn and associated with nerve injury/muscle contracture; correcting these
problems before releasing the contracture is better.

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  • First online26 July 2025
  • Published at26 July 2025

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