J Korean Soc Surg Hand.  2017 Mar;22(1):63-67. 10.12790/jkssh.2017.22.1.63.

Reconstruction of the Hand Using Fabricated Great Toe Pulp and Anterolateral Thigh Chimeric Free Flap

• Do SB
• Kim JH
• Chung CH

• KMID: 2375469
• DOI: http://doi.org/10.12790/jkssh.2017.22.1.63

Abstract

In the treatment of large hand soft tissue defect including pulp defect, it has been recommended to reconstruct pulp defect separately by glabrous skin flap such as toe pulp free flap or thenar free flap considering of skin texture, color and sensation. But sometimes we may not use recipient digital artery which is required for microanastomosis because of the injury of digital artery. To solve this problem, the authors reconstructed thumb pulp and hand palmar area soft tissue defect with fabricated flow-through chimeric free flap connecting distal part of descending branch of lateral circumflex femoral artery which distributes perforators of anterolateral thigh free flap and pedicle of great toe pulp free flap and met with good results.

Keyword

Toe pulp free flap; Anterolateral thigh free flap; Soft tissue defect

MeSH Terms

Arteries
Femoral Artery
Free Tissue Flaps*
Hand*
Sensation
Skin
Thigh*
Thumb
Toes*