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Journal of Hand Surgery (European Volume)
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Article

SIMULTANEOUS PEDICLED FLAPS FOR COVERAGE OF COMPLEX BLAST INJURIES TO THE FOREARM AND HAND (WITH SUPPLEMENTAL EXTERNAL FIXATION TO THE ILIAC CREST FOR IMMOBILIZATION)

Scott Matthew Tintle, Dr*, K. Wilson, P. L. McKay, R. C. Andersen, and A. R. Kumar

* To whom correspondence should be addressed. E-mail: s6stintle{at}hotmail.com.


   Abstract

The technique of two simultaneous pedicled flaps to a single extremity has recently proven useful in the care of war-injured military personnel. We present two cases of combat-injured Marines who underwent upper extremity reconstruction using simultaneous pedicled flaps. These cases illustrate a simple and successful alternative to free tissue transfer in providing coverage to complex soft tissue defects of the hand and forearm. Good outcomes were obtained in circumstances where free tissue transfer was not indicated.

First published on October 20, 2009
Journal of Hand Surgery (European Volume) 2009, doi:10.1177/1753193409347428


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