Using Freestyle Skin Flap in Closure of Defects in Upper Limb
Mohamed, M., Aly, A., Nasr, M., Awad, M. (2022). Using Freestyle Skin Flap in Closure of Defects in Upper Limb. EKB Journal Management System, 28(4), 629-636. doi: 10.21608/zumj.2019.17227.1541
Mohamed Atef Mohamed; Ahmed Mohamed Aly; Mohamed Ali Nasr; Mohamed Salah Awad. "Using Freestyle Skin Flap in Closure of Defects in Upper Limb". EKB Journal Management System, 28, 4, 2022, 629-636. doi: 10.21608/zumj.2019.17227.1541
Mohamed, M., Aly, A., Nasr, M., Awad, M. (2022). 'Using Freestyle Skin Flap in Closure of Defects in Upper Limb', EKB Journal Management System, 28(4), pp. 629-636. doi: 10.21608/zumj.2019.17227.1541
Mohamed, M., Aly, A., Nasr, M., Awad, M. Using Freestyle Skin Flap in Closure of Defects in Upper Limb. EKB Journal Management System, 2022; 28(4): 629-636. doi: 10.21608/zumj.2019.17227.1541

Using Freestyle Skin Flap in Closure of Defects in Upper Limb

Zagazig University Medical Journal
Article 2, Volume 28, Issue 4, July 2022, Page 629-636  XML PDF (458.9 K)
Document Type: Original Article
DOI: 10.21608/zumj.2019.17227.1541
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Authors
Mohamed Atef Mohamed email 1; Ahmed Mohamed Aly2; Mohamed Ali Nasr2; Mohamed Salah Awad2
1Plastic Surgery and Burns Resident- Hehia Central Hospital - Egyptian Ministry of Health, Egypt.
2Plastic Surgery Department, Faculty of Medicine, Zagazig University, Sharkiia, Egypt.
Abstract
Background: Defects in upper limb may result from primary open trauma, postoperative wound infection, raw area after burns or post burn scar excision, tumor excision, radiation injury. Some defects require skin flap for proper coverage and restoration of function. One of the methods recently used for reconstruction of defects in upper limb is local freestyle skin flap. This flap is based on a perforator which provides blood supply for flap and acts as pivot point when the flap is rotated. Objectives: To evaluate using freestyle flap for reconstruction of defects in upper limb and assess the post-operative results for restoring function and cosmoses. Patients and Methods: This is a prospective study carried out in Plastic & Reconstructive Surgery Department & Emergency Unit, Zagazig University Hospitals in the period from January to July 2018 including 12 patients with soft tissue loss in upper limb managed by freestyle skin flap. Results: 50% of the cases had soft tissue defect after contracture scar release, while 25% were due to traumatic cause and the remaining 25% were post malignancy resection. flap dimensions ranged from 6 - 96 cm². we had no complications in 58.3% of our cases, while minor complications like flap congestion and distal partial necrosis occurred in 33.4% which were resolved within 1 week. Unfortunately, we experienced 1 flap loss (8.3%) which managed later by debridement of necrotic tissue and skin grafting the remaining soft tissue. Conclusion: Freestyle skin flaps are a reliable option for coverage of small to moderate sized defects
Keywords
Freestyle flap; Propeller flap; pedicle perforator flap; upper limb reconstruction
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