Long-term Follow-up of Reconstruction of the Hand with a Temporoparietal Fascial Free Flap
Journal of the Korean Microsurgical Society
;
: 24-28, 2013.
Artigo
em Coreano
| WPRIM
| ID: wpr-724692
ABSTRACT
PURPOSE:
Soft tissue defect of the hand, which cannot be covered with skin graft or local flap, is usually reconstructed using a free flap. Temporoparietal fascial free flap is one of the best alternatives for functional reconstruction of the hand with exposed tendons, bones, and joints. MATERIALS ANDMETHODS:
We have experienced four cases of reconstruction using a temporoparietal fascial flap with a skin graft and followed up for 20 years. We conducted a retrospective review of the patients' clinical charts and photos.RESULTS:
At the time of initial injury, the average age of patients was 50.3 (39~62) years. The radial artery was used for reconstruction of the dorsal side of the hand, whereas the ulnar artery was used for that of the volar side of the wrist. Short term complication such as skin graft loss and donor site alopecia occurred. However, during the long term follow-up period, no change of flap volume was noted, and full range of motion in the adjacent joint was maintained. In addition, hyperpigmentation of the grafted skin on the flap disappeared gradually.CONCLUSION:
Selection of the optimal flap is important for reconstruction of the hand without functional limitation. We obtained satisfactory soft tissue coverage and functional outcomes using a temporoparietal fascial free flap and followed up for 20 years.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pele
/
Tendões
/
Doadores de Tecidos
/
Punho
/
Estudos Retrospectivos
/
Seguimentos
/
Amplitude de Movimento Articular
/
Artéria Ulnar
/
Artéria Radial
/
Hiperpigmentação
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Microsurgical Society
Ano de publicação:
2013
Tipo de documento:
Artigo
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