抄録
A pedicled groin flap has to be connected for a long period of time to the trunk and upper limbs. Conventionally, it has been fixed by taping, band and body cast, but such fixation is weak, and fine adjustment of the limb position is difficult. We have applied an external fixator, devising upper limb pelvic external fixation for fixing to a metacarpal and radius of the upper limbs and iliac of the pelvis to the penetration by two half pins. Upper limb pelvic external fixation as a fixed pedicled groin flap seem to be useful ; it is minimally invasive and simple, can be strongly fixed to the optimal limb position for circulation maintenance of flap, can be fine-tuned any number of times, and observation and wound treatment is also easy to do. Walking, rehabilitation and ability to use a shower bath can also after excellent QOL.
