Repair of large defects in upper extremities with pedicled combined flap / 中华整形外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To explore the flap transposition for repairing large defects in upper extremities.</p><p><b>METHODS</b>12 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.</p><p><b>RESULTS</b>All the flaps survived except for one flap with 2 cm distal necrosis and sub-flap infection. Satisfactory results were achieved.</p><p><b>CONCLUSIONS</b>Early debridement and reconstruction with pedicled combined flaps are feasible and reliable for large defects in the upper extremities.</p>