| Reconstruction of Electrical Burned Hand by Posterior Tibial Arterial Free Flap |
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Soo-Joong Choi, M.D., Eun Min Seo, M.D., Chang Ju Lee, M.D., Jun Dong Chang, M.D., Suk Wu Kim, M.D., Sang Hun Lee, M.D., Dong Hun Lee, M.D., Young jin Seo, M.D. |
| 후경골 동맥 유리 피판에 의한 수부 전기 화상의 재건 |
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최수중·서은민·이창주·장준동·김석우·이상훈·이동훈·서영진 |
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| Abstract |
Introduction: The hand and wrist are particularly susceptible to electrical burn. Skin defect with damage or exposure of underlying vital structure requires coverage by skin flap especially in case of the need for late reconstruction. We are reporting 4 cases of electrical burned hand treated by posterior tibial arterial free flap. The commonly used skin flaps such as scapular flap or groin flap are too bulky so that they are not satisfactory in function and cosmetic appearance. So we tried to cover them with a more thin skin flap.
Materials and Method: From January 2002 to June 2003, four cases of hand and wrist electrical burn were covered using posterior tibial arterial free flap. All the cases were due to high voltage electrical burn. Age ranged from 31 years to 38 years old and all the cases were male patients. Recipient sites were 2 wrist, one thenar area and one knuckle of 2.3rd MP joint. Additional procedures were flexor tenolysis (simultaneous), FPL tenolysis and digital nerve graft (later) and extensor tendon reconstruction (later).
Result: All the flap have survived totally without any complication including circulatory concern about the donar foot. Posterior tibail arterial free flap was so thin that debulking procedure was not required.
Conclusion: For skin coverage of the hand & wrist region, posterior tibial arterial free flap have many advantages such as reliable anatomy, easy dissection and easy anastmosis with radial or ulnar artery and possibility of sensory flap. The most helpful advantage for hand coverage is its thinness. So we think this flap is one of the very useful armamentarium for reconstructive hand surgery. |
| Key Words:
Posterior tibial artery, Free flap, Electrical burn. |
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