Comparison of Sole to Palm Reconstruction Using the Combined Medial Plantar and Medial Pedis Free Flaps and Abdominal Pedicle Flap for Extensive Palm Injuries
,
Abstract
The coverage of soft- tissue defects of the hand specially volar side needs special consideration. Although certain local flaps have been described and used for resurfacing the palm, Extensive injury requires distant or free flaps for coverage. abdominal pedicle flap has been traditionally used for extensive hand injuries, however there is no doubt that one of the ideal tissues for resurfacing the volar of hand is plantar tissue. We reconstructed the hand with a new procedure of combined medial plantar and medial pedis free flap , and compared it with 15 cases, whom their extensive palm injuries reconstructed with abdominal pedicle flap. The result was significantely better in respect to sensation, Texture of the Hand and patient satisfaction in compare of Abdominal flap.
Ishikura N, Heshiki T, Tsukada S. The use of a free medialis pedis flap for resurfacing skin defects of the hand and digits: results in five cases. Plast Reconstr Surg 1995;95(1):100-7.
Koshima I, Yamamoto H, Moriguchi T, Orita Y. Extended anterior thigh flaps for repair of massive cervical defects involving pharyngoesophagus and skin: an introduction to the "mosaic" flap principle. Ann Plast Surg 1994;32(3):321-7.
Kim SW, Hong JP, Chung YK, Tark KC. Sensate sole-tosole reconstruction using the combined medial plantar and medialis pedis free flap. Ann Plast Surg 2001;47(4):461-4.
Shaw WW, Hidalgo DA. Anatomic basis of plantar flap design: clinical applications. Plast Reconstr Surg 1986;78(5):637-49.
Masquelet AC, Romana MC. The medialis pedis flap: a new fasciocutaneous flap. Plast Reconstr Surg 1990;85(5):765-72.
Hallock GG. Simultaneous transposition of anterior thigh muscle and fascia flaps: an introduction to the chimera flap principle. Ann Plast Surg 1991;27(2):126-31.
Strauch B, Vasconez LO, Hall-findlay E, Lee BT. Grabb's Encyclopedia of Flaps: Volume III: Torso, Pelvis, and Lower Extremities. Philadelphia, PA: Lippincott Williams & Wilkins; 2009. p. 1054.
Koshima I, Yamamoto H, Hosoda M, Moriguchi T, Orita Y, Nagayama H. Free combined composite flaps using the lateral circumflex femoral system for repair of massive defects of the head and neck regions: an introduction to the chimeric flap principle. Plast Reconstr Surg 1993;92(3):411-20.
| Files | ||
| Issue | Vol 48, No 4 (2010) | |
| Section | Articles | |
| Keywords | ||
| Surgical flaps reconstructive surgical procedures hand | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
