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J Reconstr Microsurg 2003; 19(3): 153-156
DOI: 10.1055/s-2003-39827
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Reconstruction of the Replanted Hand with Latissimus Dorsi Muscle and Serratus Anterior Fascia Combined Flap

Derya Özçelik, Kemal Uğurlu, Tuğrul Turan
  • Department of Plastic and Reconstructive Surgery, Şişli Etfal State Hospital, Istanbul, Turkey
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Publication History

Publication Date:
13 June 2003 (online)

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ABSTRACT

Reconstruction with the latissimus dorsi muscle flap, combined with the serratus anterior fascia flap, was performed to cover two large and separate palmar and dorsal forearm skin defects in a patient, whose hand had been replanted 20 days earlier after traumatic amputation at the distal forearm level. As a result, a total forearm amputation was salvaged by microsurgical replantation and a free combined flap of the subscapular system. This new application of the combined flap allowed the reconstruction of large and separate wounds of the replanted hand, and provided gliding surfaces for tendons.

KEYWORDS

Replantation - forearm - hand - combined flap

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