Use of latissimus dorsi perforator flap to facilitate simultaneous great toe-to-thumb transfer in hand salvage
- Authors
- Kim, Youn Hwan; Ng, Siew-Weng; Youn, Seung Ki; Kim, Chang Yeon; Kim, Jeong Tae
- Issue Date
- Jun-2011
- Publisher
- ELSEVIER SCI LTD
- Keywords
- Latissimus dorsi perforator flap; Toe-to-thumb transfer; Hand salvage; Mutilated hand; Simultaneous flap transfer; Thumb amputation
- Citation
- JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, v.64, no.6, pp.827 - 830
- Indexed
- SCIE
SCOPUS
- Journal Title
- JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
- Volume
- 64
- Number
- 6
- Start Page
- 827
- End Page
- 830
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/168283
- DOI
- 10.1016/j.bjps.2010.10.007
- ISSN
- 1748-6815
- Abstract
- Severe crushing and degloving injury of the hand often involves multiple tissue structures requiring several stages of reconstructions. This is more challenging when tissue defect and loss of thumb co-exist, requiring vascularised tissue transfer and toe-to-thumb reconstruction in a hand that has severely compromised vascularity. The management variables to be considered include the use of pedicled or free flap, simultaneous or staged procedures, consideration for early rehabilitation and flap selection to facilitate simultaneous free tissue transfers without further jeopardy to the vascularity of the hand. We illustrate these considerations in a case we have managed with simultaneous application of a latissimus dorsi perforator flap and great toe-to-thumb transfer.
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