[Application of the thoraco-umbilical flap in emergent repair of large defect of limbs].
We have repaired larger detect of limbs after emergent debridement using the thoraco-umbilical flap on 13 cases, 6 of which were vascular island flaps, 7 were free flaps. The size of the flaps was 10 cm x 26 cm to 12 cm x 42 cm. All the flaps survived completely. The advantages of the flap are: (1) the pedicle of the flap is long and has a large diameter, (2) the flap can be made quite long so as to cover the whole ulna or tibia, (3) the flap can be used to repair bony defect by carrying a rib as an osteocutaneous flap.
Center of Traumatic Surgery, 89th Hospital of People's Liberation Army.
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Q
Fan
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B
Cao
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C
Jiang
D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D001134:Arm Injuries / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D004630:Emergencies; D005260:Female; D006801:Humans; D007869:Leg Injuries / Q000601:surgery*; D008297:Male; D013524:Surgical Flaps / Q000379:methods