A Bilobed Pedicled Groin Flap for Reconstruction of Forearm Skin Defects following Replantation.

ABSTRACT: The versatility of a pedicled groin flap can be further increased by raising it in a bilobed fashion. This allows the flap to cover both the volar and dorsal surfaces of a hand or forearm defect. A 48-year-old man sustained an avulsion amputation of his right forearm by a rolling machine in a workplace accident. Replantation of the right forearm was performed, and the postoperative course was uneventful. Unfortunately, the wound healing was complicated by circumferential marginal skin necrosis, which was confined to the distal forearm. A bilobed pedicled groin flap was performed for the wound coverage because reconstruction with a free flap would be very risky as the vessels were avulsed from the proximal part of the forearm. A good functional recovery of the hand and fingers was noted at

SUBMITTER: Hayashi K 

PROVIDER: S-EPMC7253286 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature