日本マイクロサージャリー学会会誌
Online ISSN : 2185-9949
Print ISSN : 0916-4936
症例
広範囲前腕皮膚欠損に対する遊離大腿筋膜張筋皮弁の経験
山本 美知郎西塚 隆伸原 龍哉能登 公俊平田 仁
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30 巻 (2017) 1 号 p. 38-42

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We report two cases with massive skin defects of the forearm treated with a free tensor fascia lata flap. Case 1 was a 31-year-old male with contracture of the elbow, wrist, and thumb after a free skin graft for a counter incision due to compartment syndrome. The free skin graft causing contracture was converted to a free tensor fascia lata flap with a size of 40 × 10 cm. The flap survived well and the contracture was released. Case 2 was a 55-year-old male with open fractures of the elbow and wrist. The skin on the volar side of the forearm became totally necrotic. A tensor fascia lata flap ( size 35 × 14 cm ) was placed after thorough debridement of the necrotic tissue and once the distal one-sixth became partially necrotic. He returned to daily activity after a necrotomy and secondary suture. Although we have to pay attention to distal partial necrosis if we use a full length flap, the tensor fascia lata free flap was useful for massive skin defects on the forearm because most of the flap survived without infection.

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© 2017 日本マイクロサージャリー学会
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