RETROSPECTIVE ANALYSIS OF HAND INJURY PATIENTS TREATED WITH PEDICLED GROIN FLAP RECONSTRUCTION

Main Article Content

Meraj Ahmed
Purushottam Kumar
Sadaf Siddique
Vidyapati Choudhary

Keywords

Pedicled groin flap, Reconstruction, Hand defect

Abstract

Background: A pedicled groin flap has a vital role in reconstructive hand surgery. This flap is not only a safe method for closing the defect of soft tissue loss of the hand but is also used in many clinical conditions.


Aim: The main purpose of this study is to evaluate the epidemiology and geographic aspects of the patients who require treatment with a pedicled groin flap. Pedicled abdominal and groin flaps have been used for hands and forearms reconstruction for years. We studied 40 patients that have undergone the treatment with groin flap reconstruction of hand injuries at Sri Krishna Medical College and Hospital. The age groups of these 40 patients were 7-56 years.


Methods: Out of 40 cases, the defect in 20 cases is caused mainly by burn. In the rest of the cases the etiology is different.


Results: In 20 cases immediate flap surgery is done because of the exposure of critical structure. 98% of the cases were successful.


Conclusion: Pedicled groin surgery is a safe and easy method which has promising results. It is a good choice for hands and forearm defects.

Abstract 83 | PDF Downloads 47

References

1. McGregor IA, Jackson IT. The groin flap. Br J Plast Surg. 1972; 25(1):3– 16
2. Goertz O, Kapalschinski N, Daigeler A, et al. The effectiveness of pedicled groin flaps in the treatment of hand defects: results of 49 patients. J Hand Surg Am. 2012; 37(10):2088–2094.
3. Yuce S, Oksuz M, Ersoz ME, et al. Groin flap experience in the reconstruction of soft tissue defects of the hand. Turk J Plast Surg. 2016; 24:22–26
4. Amouzou KS, Berny N, El Harti A, et al. The pedicled groin flap in resurfacing hand burn scar release and other injuries: a five-case series report and review of the literature. Ann Burns Fire Disasters. 206.
5. Ghosh JC, Hazra SC, Singha SK, Aolad MF. Resurfacing of hand injury with groin flap: an analysis of thirty-four cases. Bangladesh Medical Journal. 2014;43(1):21–2517;30(1):57–61.
6. Li YY, Wang JL, Lu Y, Huang J. Resurfacing deep wound of upper extremities with pedicled groin flaps. Burns. 2000;26:283–288.
7. Chuang DC, Colony LH, Chen HC, Wei FC. Groin flap design and versatility. Plast Reconstr Surg. 1989;84:100–107.
8. Li YY, Wang JL, Lu Y, Huang J. Resurfacing deep wound of upper extremities with pedicled groin flaps. Burns. 2000;26:283–288.
9. Guiga M, Fourati MK, Meherzi A, Belhassine H. Notre expérience des lambeaux inguinaux pédiculés à propos de quatre-vingts cas. Ann Chir Main. 1988;7:79–84.
10. Choi JY, Chung KC. The combined use of a pedicled superficial inferior epigastric artery flap and a groin flap for reconstruction of a dorsal and volar hand blast injury. Hand (N Y) 2008;3(4):375–380.
11. Ameziane I, Daoudi A, Souhail MS, Agoumi O, Marzouki A. Couverture des pertes de substance du membre supérieur (à propos de 10 cas). Chir Main. 2003;22:95–98.
12. Revol M, Binder J-P, Danino A, May P, Servant JM. ‘Manuel de chirurgie plastique, reconstructrice et esthétique, 2ème édition’. Sauramps médical; Paris: 2009. Couverture des pertes de substance cutanée de la main et des doigts; p. 701.