Herrera FA Jr1,2*, Horton KM1, Brennan R1, Buntic RF1 and Buncke GM1
1Division of Microsurgery, California Pacific Medical Center, USA
2Division of Plastic and Hand Surgery, Medical University of South Carolina, USA
We report a case of a 20-year-old patient who sustained a mutilating crush injury to the left hand. After thorough debridement and stabilization of the skeletal injury, a radial forearm fascial free flap was used to resurface the distal soft tissue volar defect of two adjacent digits. This thin fascial flap allows for stable soft tissue coverage and provides a gliding surface for the exposed tendons. The neosyndactylized digits were safely divided at 3-months follow-up, excellent functional and aesthetic results were achieved. The radial forearm fascia is a thin, durable, and pliable tissue that is based on the radial artery as a vascular pedicle. We consider this free fascial flap as a valuable option for coverage of multiple complex distal digit injuries using a single flap and highly recommend its use.
Free fascia flap; Neosyndactyly; Digital resurfacing
Herrera FA Jr, Horton KM, Brennan R, Buntic RF, Buncke GM. Resurfacing of Two Separate Digital Defects using a Radial Forearm Fascial Free Flap with Neosyndactylization. Clin Surg. 2016; 1: 1077.