J Korean Soc Plast Reconstr Surg.  2007 Nov;34(6):759-764.

Versatility of Adipofascial Flap for the Reconstruction of Soft Tissue Defect on Hand or Foot

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University, Korea. kchann@sch.hosp.ac.kr

Abstract

PURPOSE: Various types of flaps, with their own advantages and disadvantages, have been described for reconstruction of soft tissue defect with exposure of tendons, bones, or joints in the hand or foot. Local flaps with random vascularity have a limitation by their length. Free flaps are time-consuming procedure that may require the sacrifice of some major vessels. The ideal flap for covering soft tissue defects of the hand or foot must provide subcutaneous tissue that tendons can glide through which, supply enough subcutaneous tissue for cover of vital neural, bony, vascular and joint structures, and it has to be aesthetically pleasing. The adipofascial flap fulfills these criteria. It allows immediate or early closure of difficult wound of hand and foot in an easy way, and is especially indicated for small to medium-sized defects.
METHODS
From October 2005 to December 2006, seven cases underwent this procedure to reconstruct soft tissue defect on hand or foot.
RESULTS
All flaps survived completely, and no complications were observed.
CONCLUSION
The adipofascial flap is a convenient flap for coverage of soft tissue with exposure of vital structure in the hand or foot, and provide several advantages, as following; easy and safe, short operating time, one stage procedure, thinness and good pliability of the flap, preservation of the major vascular pedicles, skin preservation at the donor site, thus preserve the shape of the limb and minimize donor site scar.

Keyword

Adipofascial flap

MeSH Terms

Cicatrix
Extremities
Foot*
Free Tissue Flaps
Hand*
Humans
Joints
Pliability
Skin
Subcutaneous Tissue
Tendons
Thinness
Tissue Donors
Wounds and Injuries
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