The Manta Ray Flap: A Technique for First Web Space Release

Release of the first web space adduction contracture is important for normal hand function, as it allows improved grasp. Many methods of achieving this have been described. We describe a local flap technique that utilizes first web space skin and introduces available skin from the sides of the adjacent digits for resurfacing the released first web contracture thus providing an excellent coverage with well-vascularized, pliable, and sensate skin for the moderate first web space contractures.