Abstract

DELGADO-RUIZ, Trinidad et al. Fasciocutaneous dorsal ulnar artery flap in electric hand burns: a constant, fast and secure flap. Cir. plást. iberolatinoam. [online]. 2016, vol.42, n.1, pp.65-72. ISSN 1989-2055.

Background and Objectives. Upper limb is the most frequently affected area in high-voltage electric injuries, with a high incidence of amputations, compartment syndrome and tissue defects requiring coverage associated. Published data when reviewing literature about reconstructive surgery of the hand with high-voltage electric injuries are scarce, but a surgical plan and a quality coverage of the frequent tissue defects in hand and wrist in the acute phase is essential. Patients and Methods. Fasciocutaneous dorsal ulnar artery flap was used to repair acute soft tissue defects on the wrist of 3 patients who had suffered high-voltage electric injuries. Results. The flap provided in all our cases a reliable and durable coverage, keeping both arterial axis of the hand intact. No complications of the flap or the donor site were registered. Conclusions. Because the flap does not compromise hand arteries and provides a stable coverage with direct dissection and constant pedicle, dorsal ulnar artery flap is an excellent choice for soft tissue reconstruction in hands with high-voltage electric injuries.

Keywords : Electric burns; Hand burns; Wrist burns; Fasciocutaneous flaps; Dorsal ulnar flap.

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