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J Reconstr Microsurg 2001; 17(6): 421-424
DOI: 10.1055/s-2001-16355
Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Free Temporoparietal Fascial Flap for Coverage of a Large Palmar Forearm Wound After Hand Replantation

Richard A. Rogachefsky1 2 , Elizabeth Anne Ouellette1 , Constantino G. Mendietta3 , Peter Galpin3
  • Division of Hand Surgery, Department of Orthopaedics and Rehabilitation, University of Miami School of Medicine, Florida
  • 2Good Samaritan Medical Center, West Islip, New York
  • 3Division of Plastic Surgery, Department of Surgery, University of Miami School of Medicine, Florida
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Publication History

Publication Date:
31 December 2001 (online)

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ABSTRACT

A free temporoparietal fascial flap with a split-thickness skin graft was used to cover a large palmar forearm wound in a patient whose hand had been replanted 21 days earlier after traumatic amputation at the distal forearm level. At a 39-month follow-up, the patient had achieved an excellent cosmetic and functional result, with no alopecia or facial nerve injury. The flap is advantageous for coverage of wounds that require a large amount of thin, pliable tissue, and it leaves a concealed donor-site scar.

KEYWORD

Free fascial flap - hand replantation - skin graft - temporoparietal fascia

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