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Journal of the Korean Society for Surgery of the Hand 2001;10(1):55-59.
Published online May 31, 2001.
Reconstruction of Hand Defects with Forearm Flaps in Electrical Burn Patients
Ki Seon Kim, M.D., Hong Shick Song*, M.D., Min Wha Na, M.D., Tae Seop Lee, M.D., and Dong Eun Lee, M.D.
전기화상 환자에서 전완부피판을 이용한 수부의 재건
김기선·송홍식*·나민화·이태섭·이동은
Abstract
  The hand is a frequently affected area in high voltage electrical burn injury as an input or output sites. Therefore, early debridement and synchronous flap coverage are generally accepted as a primary treatment of several electrical burns complicated by exposure of tendons, neurovascular structures, and bones. So, in order to establish convenient, promising methods for the reconstruction of hand defects in electrical burn patients, we performed various reverse forearm flaps. From March 1997 to February 2000, we reconstructed 12 cases of hand defects in high voltage electrical burn wounds with reverse forearm flaps. Reverse radial fasciocutaneous flap were 3 cases, reverse ulnar fasciocutaneous flap were 3 cases, reverse ulnar fasciocutaneous flap and STSG were 4 cases, reverse ulnar fascial flap and STSG were 2 cases. We successfully reconstructed hand defects in all 12 cases, and obtained following conclusions. 1. Various reverse forearm flaps provide well vascularized, profitable tissues and they require short operative time with relatively easy procedures. 2. Reverse fascial flap and STSG, reverse fasciocutaneous flap and STSG provide thin flaps with good aesthetics and minor donor site morbidity.
Key Words: Forearm flap, Hand defect, Reconstruction, Electrical burn
 


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