TYPE OF SURGERIES

Birth defects

Burns related deformities

Accidents/Trauma Injuries

Swellings on any part of the body

Nerve Disorders

Miscellaneous

Aesthetic

Orthopedic

Post Snakebite Contracture with Skin, Nerve and Tendon Involvement

  • Post Snakebite Contracture with Skin, Nerve and Tendon Involvement
  • Post Snakebite Contracture with Skin, Nerve and Tendon Involvement

Description of disability:

A snakebite, whether from a venomous or nonvenomous snake, usually causes terror, often with autonomic manifestations (e.g., nausea, vomiting, tachycardia, diarrhea, diaphoresis), which may be difficult to distinguish from systemic manifestations of envenomation. This may lead to contracture.

Treatment:

The radial forearm flap is a useful and versatile fasciocutaneous flap designed on the radial artery. It was subsequently described as a pedicled flap using either antegrade or retrograde blood flow. Mobilizing the radial artery in the snuffbox and passing an island flap underneath the thumb extensors allow the flap to reach the thumb tip. The flap includes the volar forearm skin, the underlying antebrachial fascia, and the intermuscular fascia, which contains the radial artery and its cutaneous branches. It can be innervated by the medial and lateral antebrachial cutaneous nerves. With retrograde flaps, neurorrhaphy to the local nerves is required.

Post operative care: 

Rest, elevation and immobilization of the part, using an arm sling always when upright aids in good healing which takes about a month and a half.


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