Repair of large defects in upper extremities with pedicled combined flap.
- Author:
Xu HUANG
1
;
Ting-Hong XIE
;
Xing-Hua YANG
;
Ming-Hua ZHANG
;
Pi-Hong ZHANG
;
Jian-Hong LONG
;
Xiao-Yuan HUANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Burns, Electric; surgery; Humans; Male; Middle Aged; Skin Transplantation; Soft Tissue Injuries; surgery; Surgical Flaps; Treatment Outcome; Upper Extremity; injuries; Young Adult
- From: Chinese Journal of Plastic Surgery 2008;24(5):368-370
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the flap transposition for repairing large defects in upper extremities.
METHODS12 cases with large defects in elbow, forearm, wrist or palm caused by high-voltage electricity, hot-pressure or crush, were treated. 4 cases were treated with latissimus dorsal myocutaneous flaps combined iliolumbar flaps. 2 cases were treated with latissimus dorsal myocutaneous flaps combined lateral thoracic flaps. 6 cases were treated with large combined thoracic-abdomen flaps.
RESULTSAll the flaps survived except for one flap with 2 cm distal necrosis and sub-flap infection. Satisfactory results were achieved.
CONCLUSIONSEarly debridement and reconstruction with pedicled combined flaps are feasible and reliable for large defects in the upper extremities.
