Free temporoparietal fascial flap for coverage of a large palmar forearm wound after hand replantation.
A free temporoparietal fascial flap with a split-thickness skin graft was used to cover a large palmar forearm wound in a patient whose hand had been replanted 21 days earlier after traumatic amputation at the distal forearm level. At a 39-month follow-up, the patient had achieved an excellent cosmetic and functional result, with no alopecia or facial nerve injury. The flap is advantageous for coverage of wounds that require a large amount of thin, pliable tissue, and it leaves a concealed donor-site scar.
Rogachefsky
R A
RA
Division of Hand Surgery, Department of Orthopaedics and Rehabilitation, University of Miami School of Medicine, Florida, USA.
Ouellette
E A
EA
Mendietta
C G
CG
Galpin
P
P
D000062:Accidents, Occupational; D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D003131:Combined Modality Therapy; D005205:Fascia / Q000637:transplantation; D005543:Forearm Injuries / Q000209:etiology* / Q000601:surgery*; D006225:Hand / Q000601:surgery; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D010294:Parietal Bone; D019651:Plastic Surgery Procedures / Q000379:methods; D020127:Recovery of Function; D012092:Replantation / Q000009:adverse effects*; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps; D013701:Temporal Bone; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology