The Free Fillet Flap after Traumatic Amputation: A Review of Literature and Case Report

Author:

Machol Jacques A.1,Fang Robert C.,Matloub Hani S.1

Affiliation:

1. Department of Plastic Surgery, The Medical College of Wisconsin, 8700 Watertown Plank Road, Milwaukee, WI 53226-3595, USA

Abstract

Severe, mutilating hand injuries present difficult reconstructive scenarios. Often in these cases, portions of the amputated tissue may be used for reconstruction of the remaining digits and hand using the spare parts principle. The free fillet flap follows the spare parts concept. A literature review of free fillet flaps for hand and forearm coverage is provided. We also present a case report of a multi-digit and dorsal hand free fillet flap for coverage of a traumatic metacarpal hand. This flap demonstrates the value of ingenuity in planning during emergent trauma reconstruction.

Publisher

SAGE Publications

Subject

Orthopedics and Sports Medicine,Surgery

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