Reconstruction of the Hand Using Fabricated Great Toe Pulp and Anterolateral Thigh Chimeric Free Flap

Do,  Su Bin; Kim,  Jae Hyun; Chung,  Chul Hoon

doi:2017.22.1.63

Arch Hand Microsurg > Volume 22(1); 2017 > Article

Case Report

Journal of the Korean Society for Surgery of the Hand 2017;22(1):63-67.
Published online March 31, 2017.
DOI: https://doi.org/10.12790/jkssh.2017.22.1.63

Reconstruction of the Hand Using Fabricated Great Toe Pulp and Anterolateral Thigh Chimeric Free Flap

Su Bin Do, Jae Hyun Kim, Chul Hoon Chung

Department of Plastic & Reconstructive Surgery, Hallym University Kangdong Sacred Heart Hospital, Seoul, Korea. jaykay0219@naver.com

Received: 10 October 2016 • Revised: 14 January 2016 • Accepted: 15 January 2016

Abstract

In the treatment of large hand soft tissue defect including pulp defect, it has been recommended to reconstruct pulp defect separately by glabrous skin flap such as toe pulp free flap or thenar free flap considering of skin texture, color and sensation. But sometimes we may not use recipient digital artery which is required for microanastomosis because of the injury of digital artery. To solve this problem, the authors reconstructed thumb pulp and hand palmar area soft tissue defect with fabricated flow-through chimeric free flap connecting distal part of descending branch of lateral circumflex femoral artery which distributes perforators of anterolateral thigh free flap and pedicle of great toe pulp free flap and met with good results.