Erschienen in:
01.05.2004 | Case Report
The use of a free and pedicled lateral arm flap for coverage of an extensive degloving injury of the upper extremity
verfasst von:
M. Hamdi, K. Van Landuyt, P. Blondeel, S. Monstrey
Erschienen in:
European Journal of Plastic Surgery
|
Ausgabe 2/2004
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Abstract
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.