Use of the Groin Flap in Traumatic Hand Injuries.

OBJECTIVE

To analyze the use of the groin flap in the treatment of traumatic injuries that are not very extensive, with tissue loss in the wrist and hand region.

METHODS

We performed 14 flaps from the inguinal region to reconstruct traumatic hand injuries. The age of the sample ranged from 21 to 56 years, and all patients were male.

RESULTS

Complete flap survival was recorded in all limbs. In seven patients, there were complications: in two, partial necrosis, for which flap debridement was necessary, and the area was covered with a skin graft. In four cases, marginal necrosis occurred, which later healed spontaneously. Partial loosening at the receiving area was observed in one case in the first week, requiring complete suturing.

CONCLUSION

Even with the advent of microsurgical techniques, the groin flap remains a good and safe method to repair hand injuries with tissue loss, with or without loss of bone tissue.