The use of a free and pedicled lateral arm flap for coverage of an extensive degloving injury of the upper extremity

Autor:	Moustapha Hamdi, K. Van Landuyt, Stan Monstrey, P.n. Blondeel
Rok vydání:	2004
Předmět:	Dorsum medicine.medical_specialty Degloving integumentary system business.industry Skin flap Anatomy medicine.disease eye diseases Surgery Plastic surgery Lateral arm flap medicine Blood supply business Humeral condyle
Zdroj:	European Journal of Plastic Surgery. 27:86-89
ISSN:	1435-0130 0930-343X
DOI:	10.1007/s00238-003-0576-8
Popis:	Classical skin free flaps are rarely used to cover large skin defects of the upper extremity because of the limited donor size. Muscle flaps with a skin graft are preferred because they provide a large amount of cover and a good blood supply. A case report is presented in which a double skin flap was used to cover a large defect (40×8 cm) extending from the lateral humeral condyle to the dorsal aspect of the hand. A free lateral arm flap from the contra–lateral arm was successfully used in conjunction with a pedicled reversed lateral arm flap from the injured limb. We suggest that skin flaps should be considered for cover of skin defects. The lateral arm flap, which is a versatile flap, offers thin, pliable and sensate skin with minimal donor site morbidity.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::63204c9bb0ea01bd8e09ad32551e356c https://doi.org/10.1007/s00238-003-0576-8 Zobrazit plný text záznamu Full text from SpringerLink