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In unusual cases, extensive soft-tissue defects of the upper extremity may be reconstructed
with major fillet flaps. We discuss the use of these flaps as derived from the experience
in using them on 8 selected patients during a 5-year period at 2 institutions. Etiology
of injury for which these flaps are ideal include trauma and tumor resection or reconstruction.
Defect locations included the shoulder, combined defects of the shoulder plus neck,
arm or chest wall, upper arm, and forearm. The majority of flaps require microsurgical
free-tissue transfer. Unlike the classic spare-part, fillet-flap concept, the partial
or complete conversion of an anatomically intact arm can be performed, especially
in tumor reconstruction. Major fillet flaps represent a valuable option in the armamentarium
for reconstruction in the upper extremity with either pedicled or free-tissue transfers
involving extensive tissue defects.
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References
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© 2002 American Society for Surgery of the Hand. Published by Elsevier Inc.
