Using bipedicle abdominal flap to save left forearm and armfollowing a high-voltage electric burn

ABSTRACT

Electrical injury is daily compromise of our life and upper and lower extremities are common sites of injury. A 23 years old man who had suffered high voltage electrical injury referred to our center. He had severe left upper extremity burn and suffered from head and thoracic injuries due to falling down from high altitude. Fasciotomy of the left forearm was done. Muscle damageand myoglobinuria were managed. Early reconstruction was performedfor prevention of tendons and nerve necrosis. Because of circumferential burning of the left forearm, bipedicle abdominal flap at the skinof left lower thorax and the abdomen was done. Stillskin necrosis of the flap at the lateral epicondyle area of the bipedicle abdominal flap occurred. Latissimusdorsi muscle pedicle flap was used for coverage of the lateral epicondyle area. Local flap is an important complication of the bi-pedicle abdominal flap