A Bilobed Pedicled Groin Flap for Reconstruction of Forearm Skin Defects following Replantation

Plastic and Reconstructive Surgery. Global Open
Kota HayashiKazuteru Doi

Abstract

The versatility of a pedicled groin flap can be further increased by raising it in a bilobed fashion. This allows the flap to cover both the volar and dorsal surfaces of a hand or forearm defect. A 48-year-old man sustained an avulsion amputation of his right forearm by a rolling machine in a workplace accident. Replantation of the right forearm was performed, and the postoperative course was uneventful. Unfortunately, the wound healing was complicated by circumferential marginal skin necrosis, which was confined to the distal forearm. A bilobed pedicled groin flap was performed for the wound coverage because reconstruction with a free flap would be very risky as the vessels were avulsed from the proximal part of the forearm. A good functional recovery of the hand and fingers was noted at 12 months' follow-up. The advantages of a bilobed pedicle groin flap are that it allows coverage of both the volar and dorsal surfaces at one setting and primary closure of the donor site is possible. Furthermore, a long tube-shaped pedicle in this flap can reduce the patient discomfort and prevent finger stiffness by allowing a range of motion exercise. In conclusion, the bilobed pedicled groin flap is a useful option to cover soft tissue def...Continue Reading

References

Sep 1, 1978·Annals of Plastic Surgery·M S Climo
Jan 1, 1972·British Journal of Plastic Surgery·I A McGregor, I T Jackson
Sep 10, 2008·Hand : Official Journal of the American Association for Hand Surgery·Joon Y Choi, Kevin C Chung
Apr 1, 2007·The Canadian Journal of Plastic Surgery = Journal Canadien De Chirurgie Plastique·Trevor M BrooksJaret L Olson
Nov 7, 2009·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Azmat M DoctorAnusham A Ananthram
May 22, 2013·Techniques in Hand & Upper Extremity Surgery·Babu BajantriShanmuganathan Raja Sabapathy
Apr 16, 2014·Hand Clinics·S Raja Sabapathy, Babu Bajantri

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Methods Mentioned

BETA
amputation
dissection

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