title: Innovations in flap design: modified groin flap for closure of multiple finger defects.
abstract: The groin flap is frequently used for covering soft-tissue defects of the hand. It is normally utilised as a single unit to cover the defect. When used for coverage of multiple digital defects, it requires syndactylisation of the digits with a further procedure to divide the syndactylised digits some time after division of the main pedicle. We report a new technique of fashioning 'daughter flaps' from the groin flap at the time of elevation, and their use to cover full-thickness burns to the dorsum of PIP joints in both hands thus avoiding the need for syndactylisation of the digits.
authors.affiliation: The Norman C. Hughes Regional Burns Unit, The Royal Victoria Hospital, Belfast, UK. tuabin.rasheed@net.ntl.com
authors.forename: T
authors.initials: T
authors.lastname: Rasheed
authors.forename: C
authors.initials: C
authors.lastname: Hill
authors.forename: M
authors.initials: M
authors.lastname: Riaz
mesh_terms: D000328:Adult; D002056:Burns / Q000601:surgery*; D005383:Finger Injuries / Q000601:surgery*; D006119:Groin / Q000601:surgery*; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000592:standards