title: Reconstruction of the replanted hand with latissimus dorsi muscle and serratus anterior fascia combined flap.
abstract: Reconstruction with the latissimus dorsi muscle flap, combined with the serratus anterior fascia flap, was performed to cover two large and separate palmar and dorsal forearm skin defects in a patient, whose hand had been replanted 20 days earlier after traumatic amputation at the distal forearm level. As a result, a total forearm amputation was salvaged by microsurgical replantation and a free combined flap of the subscapular system. This new application of the combined flap allowed the reconstruction of large and separate wounds of the replanted hand, and provided gliding surfaces for tendons.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Sişli Etfal State Hospital, Istanbul, Turkey.
authors.forename: Derya
authors.initials: D
authors.lastname: Ozçelik
authors.forename: Kemal
authors.initials: K
authors.lastname: Uğurlu
authors.forename: Tuğrul
authors.initials: T
authors.lastname: Turan
mesh_terms: D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery; D005205:Fascia / Q000098:blood supply / Q000637:transplantation*; D006225:Hand / Q000601:surgery*; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000098:blood supply / Q000637:transplantation*; D020127:Recovery of Function / Q000502:physiology; D013524:Surgical Flaps / Q000098:blood supply; D014945:Wound Healing / Q000502:physiology