The pectoralis major island flap for coverage in the upper extremity

Edward Luce, Steven F. Gottlieb

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

From July 1, 1978, to July 1, 1980, 26 patients required pedicle flap coverage for acute skin loss defects in the hand and upper extremity. Eighteen patients had groin or abdominal flap coverage, and the pectoralis major island flap (PMIF) was used in eight patients. The circumstances of injury were approximately the same in both groups, consisting of a gunshot wound or electrical injury in over half of the cases. The PMIF was selected more often in proximal and dorsal injuries of the forearm and wrist and in older patients. Two of 13 groin flaps sustained partial necrosis, but none of the abdominal or PMIF flaps necrosed. The principle advantages of the PMIF in these selected cases was fourfold: (1) an extremity placed in a less dependent, sling-like position, (2) mobility, (3) reliability, and (4) a complete inset into the defect. The chest wall donor site defect, however, must be given some consideration.

Original languageEnglish (US)
Pages (from-to)156-160
Number of pages5
JournalJournal of Hand Surgery
Volume7
Issue number2
DOIs
StatePublished - Jan 1 1982

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Surgical Flaps
Upper Extremity
Groin
Forearm Injuries
Wrist Injuries
Gunshot Wounds
Wounds and Injuries
Thoracic Wall
Necrosis
Extremities
Hand
Tissue Donors
Skin

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

The pectoralis major island flap for coverage in the upper extremity. / Luce, Edward; Gottlieb, Steven F.

In: Journal of Hand Surgery, Vol. 7, No. 2, 01.01.1982, p. 156-160.

Research output: Contribution to journalArticle

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