Hand &amp; Foot Dorsum Reconstruction in Children using Parascapular Free Flap

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Journal of the Korean Society for Surgery of the Hand 2004;13(1):63-67.
Published online May 31, 2004.

Hand & Foot Dorsum Reconstruction in Children using Parascapular Free Flap

Sukhan Kim, M.D., Wonsok Hyon, M.D., Jihyuck Lee, M.D.*, Goohyun Mun, M.D., Saik Bang, M.D., Kapsung Oh, M.D.

부견갑부 유리 피판을 이용한 소아의 손, 발등 재건

김석한·현원석·이지혁*·문구현·방사익·오갑성

Abstract

  Because traumatic tissue damage on hands and feet often lead to loss of function, permanent deformity, prompt and adequate reconstruction is essential. For children, future growth, as well as function and esthetics, must be taken into account. Several techniques have been employed to reconstruct hand and foot dorsum defects of children.
  However, skin graft and muscle free flap with skin graft cannot prevent contracture and will interfere with normal growth. Fasciocutaneous free flap reduces contracture and enables early physical therapy, decreasing the need for additional surgical intervention.
  Parascapular flap is particularly suitable because it has reliable pedicle and is relatively thin. There is little functional loss in the donor site, and also simultaneous extensor tendon reconstruction of hand and foot is possible. The disadvantage of this technique is that postoperative defatting is needed to adjust volume. Our department has achieved satisfactory results using this approach, and would like to report 13 cases of hand and foot reconstruction using parascapular flap in patients under the age of 15 (from March, 1998 to May, 2003).

Key Words: Free flap, Children.

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