Free Flap Transfer for the Reconstruction of Injured Hands

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Journal of the Korean Society for Surgery of the Hand 2005;10(4):234-241.
Published online December 1, 2005.

Soo Bong Hahn, Sung Hun Kim, Jae Hak Jung, Ho Jung Kang

손상 수부의 재건에 사용된 유리 피판술

한수봉, 김성훈, 정재학, 강호정

Abstract

Purpose
The purpose is to analyze the clinical results of a free flap transfer for the reconstruction of variously injured hands. Materials and Methods: Between March 1983 and December 2002, we reviewed retrospectively 79 patients (68 mem, 11 women) treated for soft tissue defects or functional loss of hands or forearms. There were 49 mechanical injuries, 20 traffic accidents, 6 burn scars, 2 tumorous condition, 2 bite injuries. The results were evaluated with flap survival rate and functional score using 4 grading system of Jung’s criteria. Result: Sixty four out of total 79 flaps successfully survived (81%). There were 18 wrap around flaps (out of them 17 survived, 94%), 14 parascapular flaps (11, 78%), 16 groin flaps (14, 87%), 10 dorsalis pedis flaps (7, 70%), 5 lateral arm flaps (3, 60%), 3 deltoid flaps (2, 67%), 6 gracillis flaps (4, 67%), 3 first web space flaps (2, 67%), 2 latissimus dorsi flaps (2, 100%), 2 lateral thigh flaps (2, 100%). Out of survived 64 cases, excellent or good results were obtained in 62 cases. Conclusion: Free flap transfer for the reconstruction of injured hands is very useful method for the functional and cosmetic recovery. Especially combined transfer of several tissues enables the primary reconstruction and rapid recovery.

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