Use of three free flaps based on a single vascular pedicle for complex hand reconstruction in an electrical burn injury: a case report.
The use of conjoint flaps based on the dorsalis pedis artery enabled a transfer of 3 free flaps-dorsalis pedis flap, fillet flap of the second toe, and trimmed large toe-to reconstruct a severely traumatized hand in a 12-year-old girl. High-voltage electrical burn injury had caused a large wound over the volar wrist and exposed the flexor tendons and median/ulnar nerves. In addition, she suffered a partial loss of the thumb and had an open wound at the base of the index finger. The application of the conjoint flaps restored hand function in a one-stage procedure.
Chung
K C
KC
Section of Plastic Surgery, Department of Surgery, The University of Michigan Hand Center, The University of Michigan Medical Center, Ann Arbor, MI 48109-0340, USA.
Tong
L
L
D002058:Burns, Electric / Q000601:surgery*; D002648:Child; D003646:Debridement; D005260:Female; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps; D013708:Tendon Injuries / Q000601:surgery