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

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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.

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References

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    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.

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Financial disclosures

none.

Author information

Correspondence to Gregory H. Borschel.

Additional information

Institutional Review Board Approval Statement

Consent was obtained from the family, in accordance with the Human Research Protection Office, to publish this research.

Electronic supplementary material

Below is the link to the electronic supplementary material.

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)

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)

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Borschel, G.H. A Three-Subunit Latissimus Dorsi Muscle Free Flap for Single-Stage Coverage of the Hand and Three Adjacent Fingers. HAND 5, 99–101 (2010) doi:10.1007/s11552-009-9208-5

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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