Use of latissimus dorsi perforator flap to facilitate simultaneous great toe-to-thumb transfer in hand salvage

Youn Hwan Kim, Siew Weng Ng, Seung Ki Youn, Chang Yeon Kim, Jeong-Tae Kim

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Severe crushing and degloving injury of the hand often involves multiple tissue structures requiring several stages of reconstructions. This is more challenging when tissue defect and loss of thumb co-exist, requiring vascularised tissue transfer and toe-to-thumb reconstruction in a hand that has severely compromised vascularity. The management variables to be considered include the use of pedicled or free flap, simultaneous or staged procedures, consideration for early rehabilitation and flap selection to facilitate simultaneous free tissue transfers without further jeopardy to the vascularity of the hand. We illustrate these considerations in a case we have managed with simultaneous application of a latissimus dorsi perforator flap and great toe-to-thumb transfer.

Original languageEnglish
Pages (from-to)827-830
Number of pages4
JournalJournal of Plastic, Reconstructive and Aesthetic Surgery
Volume64
Issue number6
DOIs
StatePublished - 2011 Jun 1

Fingerprint

Hallux
Perforator Flap
Superficial Back Muscles
Thumb
Hand
Surgical Flaps
Free Tissue Flaps
Toes
Rehabilitation

Keywords

  • Hand salvage
  • Latissimus dorsi perforator flap
  • Mutilated hand
  • Simultaneous flap transfer
  • Thumb amputation
  • Toe-to-thumb transfer

Cite this

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abstract = "Severe crushing and degloving injury of the hand often involves multiple tissue structures requiring several stages of reconstructions. This is more challenging when tissue defect and loss of thumb co-exist, requiring vascularised tissue transfer and toe-to-thumb reconstruction in a hand that has severely compromised vascularity. The management variables to be considered include the use of pedicled or free flap, simultaneous or staged procedures, consideration for early rehabilitation and flap selection to facilitate simultaneous free tissue transfers without further jeopardy to the vascularity of the hand. We illustrate these considerations in a case we have managed with simultaneous application of a latissimus dorsi perforator flap and great toe-to-thumb transfer.",
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Use of latissimus dorsi perforator flap to facilitate simultaneous great toe-to-thumb transfer in hand salvage. / Kim, Youn Hwan; Ng, Siew Weng; Youn, Seung Ki; Kim, Chang Yeon; Kim, Jeong-Tae.

In: Journal of Plastic, Reconstructive and Aesthetic Surgery, Vol. 64, No. 6, 01.06.2011, p. 827-830.

Research output: Contribution to journalArticle

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