Pedicled abdominal flap using deep inferior epigastric artery perforators for forearm reconstruction: A case report  

作　　者：Jae Hyung Jeon Kyung Wook Kim Hong Bae Jeon 

机构地区：[1]Department of Plastic and Reconstructive Surgery,Dankook University Hospital,Cheonan 31116,Chungnam,South Korea [2]Department of Orthopaedic Surgery,Dankook University Hospital,Dankook University College of Medicine,Cheonan 31116,Chungnam,South Korea [3]Department of Plastic and Reconstructive Surgery,Dankook University Hospital,Dankook University College of Medicine,Cheonan 31116,Chungnam,South Korea

出　　处：《World Journal of Clinical Cases》2024年第4期828-834,共7页世界临床病例杂志

基　　金：Supported by The Bio&Medical Technology Development Program of the National Research Foundation(NRF)funded by the Korean government(MSIT),No.RS-2023-00220408.

摘　　要：BACKGROUND Pedicled abdominal flaps are a widely used surgical technique for forearm reconstruction in patients with soft tissue defects.However,some drawbacks include restricted flap size,partial flap loss,and donor-site morbidity.To address these concerns,we present a case of a pedicled abdominal flap using the deep inferior epigastric artery perforators(DIEP)for forearm reconstruction in a patient with a large soft tissue defect.CASE SUMMARY A 46-year-old male patient was admitted to our hospital with forearm injury caused by a pressing machine.A 15 cm×10 cm soft tissue defect with complete rupture of the ulnar side structures of the forearm was found.One week after orthopedic management of the neurovascular injury and fractures using the first stage of Masquelet technique,the patient was referred to the plastic and recon-structive surgery department for wound coverage.Surgical debridement and negative-pressure wound therapy revealed a 20 cm×15 cm soft tissue defect.A pedicle abdominal flap with the DIEP was used to cover the defect.Three weeks later,the flap was detached from the abdomen,and the abdominal defect was directly closed.Subsequently,the second stage of Masquelet technique was performed at the fracture site at week 10.Finally,all donor and recipient sites healed without complications,such as flap dehiscence,infection,hematoma,or necrosis.Fracture site osteosynthesis was achieved without complications.CONCLUSION Pedicled abdominal flap using the DIEP provides a reliable option for forearm reconstruction in patients with large soft tissue defects.

关 键 词：Forearm injury Open fracture reduction Perforator flap Deep inferior epigastric artery perforators Case report 

分 类 号：R622[医药卫生—整形外科]