The turbocharged Becker flap: a simple variation that allows coverage of most of the dorsum of the hand
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Manuel M. Gomez & Diogo B. Casal
- چاپ و سال / کشور: 2011
Description
Cover of medium and large defects of the dorsum of the hand remains a substantial surgical challenge that often requires free tissue transfer. We report the case of a 28-year-old male who presented with necrosis of most of the dorsum of his dominant hand after an iatrogenic injury. A large Becker flap was raised to cover the entire defect. However, venous insufficiency was noted intraoperatively. The flap was turbocharged by performing a venous anastomosis between the flap and the recipient site, resulting in complete survival of the flap. The authors conclude that the turbocharged Becker flap can be a good alternative for expeditiously covering large defects of the dorsum of the hand without having to resort to free tissue transfer.
Eur J Plast Surg (2011) 34:211–213 DOI 10.1007/s00238-010-0454-0 Received: 3 November 2009 / Accepted: 6 May 2010 / Published online: 25 May 2010