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Journal of the Korean Society for Surgery of the Hand 2001;10(1):44-48.
Published online May 31, 2001.
The Total Arm Musculocutaneous Free Flap for Reconstruction of Extended Forequarter Amputation in Electrical Burn Patient
Jun Hyup Lee, M.D., Tae Seop Lee, M.D., Min Wha Na, M.D., Dong Eun Lee, M.D.
전기화상 환자에서 견관절 절단부 재건을 위한 상지 근피부 유리피판술의 증례 보고
이준협·이태섭·나민화·이동은
Abstract
  The pedicled fillet flap concept has been successfully applied in both the upper and lower extremities for the treatment of difficult wounds. However, in case of complete extremity amputation in eletrical burn patient, the transfer of pedicled flaps from the amputated part is not possible. In such instances, we have designed total arm musculocutaneous free-fillet flaps from the amputated limb to provide wound coverage, when replantation of the amputated part was contraindicated. now we present such a case. This technique allows immediate wound coverage without the morbidity of an additional donor site. The flap provides the ideal combination of large surface area, muscle bulk, and long vascular pedicle. It can be dissected rapidly to minimize ischemic time and could therefore be applicable to traumatic forequarter amputations.
Key Words: Electrical burn, Free fillet flap, Forequarter amputation
 


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