[Repair of large defects in upper extremities with pedicled combined flap].
OBJECTIVE
To explore the flap transposition for repairing large defects in upper extremities.


METHODS
12 cases with large defects in elbow, forearm, wrist or palm caused by high-voltage electricity, hot-pressure or crush, were treated. 4 cases were treated with latissimus dorsal myocutaneous flaps combined iliolumbar flaps. 2 cases were treated with latissimus dorsal myocutaneous flaps combined lateral thoracic flaps. 6 cases were treated with large combined thoracic-abdomen flaps.


RESULTS
All the flaps survived except for one flap with 2 cm distal necrosis and sub-flap infection. Satisfactory results were achieved.


CONCLUSIONS
Early debridement and reconstruction with pedicled combined flaps are feasible and reliable for large defects in the upper extremities.
Huang
Xu
X
The Burns & Plastic Surgery Department of Xiangya Hospital, Central South University, Changsha 410008, China.
Xie
Ting-Hong
TH
Yang
Xing-Hua
XH
Zhang
Ming-Hua
MH
Zhang
Pi-Hong
PH
Long
Jian-Hong
JH
Huang
Xiao-Yuan
XY
D000328:Adult; D002058:Burns, Electric / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D016038:Skin Transplantation; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps; D016896:Treatment Outcome; D034941:Upper Extremity / Q000293:injuries; D055815:Young Adult