Faculty Collaboration Database

The free-fillet flap for reconstruction of the upper extremity. Plast Reconstr Surg 1994 Sep;94(3):507-12

Date

09/01/1994

Pubmed ID

8047603

DOI

10.1097/00006534-199409000-00013

Scopus ID

2-s2.0-0028000836 (requires institutional sign-in at Scopus site)   35 Citations

Abstract

The pedicled fillet flap concept has been successfully applied in both the upper and lower extremities for the treatment of difficult wounds. However, in cases of complete extremity amputation, the transfer of pedicled flaps from the amputated part is not possible. In such instances, we have designed free-fillet flaps from the amputated limb to provide wound coverage when replantation of the amputated part was contraindicated. This technique allows immediate wound coverage and preservation of functional amputation stump length, without the morbidity of an additional donor site. We present three cases that demonstrate the utility of this technique as an additional reconstructive option in patients with unreplantable upper-extremity amputations.

Author List

Hammond DC, Matloub HS, Kadz BB, Yousif NJ, Sanger JR, Larson DL

Authors

Hani S. Matloub MD Professor in the Plastic Surgery department at Medical College of Wisconsin
James R. Sanger MD Professor in the Plastic Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adult
Amputation, Traumatic
Arm Injuries
Artificial Limbs
Child
Contraindications
Finger Injuries
Frostbite
Humans
Male
Replantation
Surgical Flaps