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The pedicled paraumbilical flap is a reliable tissue transfer for hand and forearm reconstruction. However, its size, pedicle length and/or thickness limit its application in resurfacing of extensive defects of the upper limb. To conquer those limitations, this flap was pre-expanded for 10–24 weeks prior to transfer in 25 patients and used as a pedicle flap to cover upper extremity defects. Extensive...
Closure of donor-site defects from large cutaneous flap harvesting often faces significant morbidity, which limits the utility of workhorse flaps in large-soft-tissue defect reconstruction. To overcome this limitation, we introduced the concept of a second ‘buddy’ flap to reconstruct the donor-site defect.Between 2007 and 2010, the buddy flap concept was applied in 12 patients. In each case, the primary...
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