Forearm island flaps in the coverage of soft tissue defects of the hand: about 22 cases

Soft-tissue defects of the h and exposing deep structures, and those interesting whole plastic units, especially web spaces, do require coverage by flaps. The use of forearm isl and flaps has widely improved the surgical treatment of h and soft-tissue defects. The authors describe in this series the use of three isl and flaps for the optimum reconstruction of the dorsal and volar skin of both h and and wrist, as well as the digital web spaces.Chinese flap was used in 11 cases, dorsal ulnar artery flap in 9, and retrograde posterior interosseous artery flap in 2. The choice of the kind of flap should warrant the recovery of a good functional and aesthetic result to the h and, and this work shows that the three flaps herein used don't rule each other out, but advantages of one are limitations of the other

[Erysipelas at the upper limb about 3 cases]

Erysipelas is an acute bacterial infection of the dermis and hypodermis generally caused by streptococcus. This affection is rare at the upper limb. The authors report the observation of three patients of the 4[th] and the 7[th] decade presenting an erysipelas at the upper limb having evolved favorably under antibiotic treatment and hospitalisation in two cases. The erysipelas is of clinical diagnosis basing on general and local signs. The portal of entry must be always looked for and treated. It represents with the diabetes, the obesity and the lymphedema a factor of gravity of this pathology