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  • Title: [Repair of large defects in upper extremities with pedicled combined flap].
    Author: Huang X, Xie TH, Yang XH, Zhang MH, Zhang PH, Long JH, Huang XY.
    Journal: Zhonghua Zheng Xing Wai Ke Za Zhi; 2008 Sep; 24(5):368-70. PubMed ID: 19119639.
    Abstract:
    OBJECTIVE: To explore the flap transposition for repairing large defects in upper extremities. METHODS: 12 cases with large defects in elbow, forearm, wrist or palm caused by high-voltage electricity, hot-pressure or crush, were treated. 4 cases were treated with latissimus dorsal myocutaneous flaps combined iliolumbar flaps. 2 cases were treated with latissimus dorsal myocutaneous flaps combined lateral thoracic flaps. 6 cases were treated with large combined thoracic-abdomen flaps. RESULTS: All the flaps survived except for one flap with 2 cm distal necrosis and sub-flap infection. Satisfactory results were achieved. CONCLUSIONS: Early debridement and reconstruction with pedicled combined flaps are feasible and reliable for large defects in the upper extremities.
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