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HAND

, Volume 5, Issue 1, pp 99–101 | Cite as

A Three-Subunit Latissimus Dorsi Muscle Free Flap for Single-Stage Coverage of the Hand and Three Adjacent Fingers

  • Gregory H. BorschelEmail author
Case Reports

Abstract

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.

Keywords

Vascular territory Angiosome Free tissue transfer Free flap Dorsal hand wound Reconstruction Pediatric Hand trauma Partial free flap Go-kart Free muscle flap Hand reconstruction 

Notes

Financial disclosures

none.

Supplementary material

Video 1

Six-month postoperative video demonstrating digital flexion and extension (WMV 85 kb)

Video 2

Three-month postoperative video demonstrating the patient’s ability to tie his shoes (WMV 248 kb)

References

  1. 1.
    Brooks D, Buntic RF. Partial muscle harvest: our first 100 cases attempting to preserve form and function at the donor site. Microsurgery. 2008;28:606–11.CrossRefPubMedGoogle Scholar
  2. 2.
    Buntic RF, Horton KM, Brooks D, et al. The free partial superior latissimus muscle flap: preservation of donor-site form and function. Plast Reconstr Surg. 2008;121:1659–63.CrossRefPubMedGoogle Scholar
  3. 3.
    Hallock GG. In an era of perforator flaps, are muscle flaps passe? Plast Reconstr Surg. 2009;123:1357–63.CrossRefPubMedGoogle Scholar
  4. 4.
    Tobin GR, Moberg AW, DuBou RH, et al. The split latissimus dorsi myocutaneous flap. Ann Plast Surg. 1981;7:272–80.CrossRefPubMedGoogle Scholar

Copyright information

© American Association for Hand Surgery 2009

Authors and Affiliations

  1. 1.Division of Plastic and Reconstructive Surgery, St. Louis Children’s HospitalWashington University in St. LouisSt. LouisUSA

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