A Three-Subunit Latissimus Dorsi Muscle Free Flap for Single-Stage Coverage of the Hand and Three Adjacent Fingers
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A latissimus dorsi muscle flap was used to simultaneously resurface the dorsal index, middle, and ring fingers of a 10-year-old child who had sustained a severe abrasion burn from a go-kart injury. Rather than performing multiple individual flaps, or a single flap in which a secondary division procedure would have been needed, the flap was divided into three vascular territories, permitting a single-stage reconstruction. Use of this strategy minimized the need for prolonged rehabilitation, and the functional outcome was optimized.
KeywordsVascular territory Angiosome Free tissue transfer Free flap Dorsal hand wound Reconstruction Pediatric Hand trauma Partial free flap Go-kart Free muscle flap Hand reconstruction
Six-month postoperative video demonstrating digital flexion and extension (WMV 85 kb)
Three-month postoperative video demonstrating the patient’s ability to tie his shoes (WMV 248 kb)