title: [Repair of large defects in upper extremities with pedicled combined flap].
abstract: 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.
authors.affiliation: The Burns & Plastic Surgery Department of Xiangya Hospital, Central South University, Changsha 410008, China.
authors.forename: Xu
authors.initials: X
authors.lastname: Huang
authors.forename: Ting-Hong
authors.initials: TH
authors.lastname: Xie
authors.forename: Xing-Hua
authors.initials: XH
authors.lastname: Yang
authors.forename: Ming-Hua
authors.initials: MH
authors.lastname: Zhang
authors.forename: Pi-Hong
authors.initials: PH
authors.lastname: Zhang
authors.forename: Jian-Hong
authors.initials: JH
authors.lastname: Long
authors.forename: Xiao-Yuan
authors.initials: XY
authors.lastname: Huang
mesh_terms: 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