The Use of a Lumbrical Muscle Flap for Treatment of Chronic Tenocutaneous Fistula

Abstract

Tenocutaneous fistulas after trauma or open release of the A1 pulley provide a unique reconstructive challenge. We describe the use of a lumbrical muscle turnover flap as a novel technique for managing these wounds and present its successful use in a patient with a tenocutaneous fistula after A1 pulley release of the middle finger. This flap provides a simple, local reconstructive option in patients with an array of palmar wounds that have failed conservative management.

Keywords: Lumbrical muscle flap; synovial fistula; tenocutaneous fistula.