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Journal of Hand Surgery (European Volume)
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Articles

Free ‘Mini’ Groin Flap for Digital Resurfacing

M. TARE
V. RAMAKRISHNAN

From the Department of Plastic Surgery, St Andrew’s Centre, Broomfield Hospital, Chelmsford, UK

Correspondence: M. Tare, 86A Patching Hall Lane, Chelmsford CM1 4DB, UK. E-mail:mtare{at}hotmail.com.

Ten cases of post-traumatic skin and soft tissue loss over the digits were resurfaced by free ‘mini’ groin flap. Five patients had defects of the dorsum of the digit, three had proximal palmar defects, one patient had circumferential skin loss and one had multiple digital injuries. The flap was harvested from the contralateral groin using a two-team approach. The average size of the flap was 5.5 x 4.75 cm and the mean operating time was 2.45 hrs. All patients had physiotherapy within 48–72 hrs. There were no flap losses. Six patients were happy with the cosmetic result and did not require any further debulking. We recommend free tissue transfer for digital resurfacing specifically in moderate to large dorsal defects, proximal volar defects, circumferential skin loss and multiple digit injuries.

Key Words: free groin flap • digital resurfacing • superficial circumflex iliac vessels • microsurgery

This version was published on June 1, 2009

Journal of Hand Surgery (European Volume), Vol. 34, No. 3, 336-342 (2009)
DOI: 10.1177/1753193408101464
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