[Repair of severely burned hand and wrist with abdominal thin skin flaps].

OBJECTIVE

To summarize the experience of repairing of severely burned hand and wrist with abdominal thin skin flaps in insertion pattern.

METHODS

Twelve burn patients with the dorsum of the hands and wrist being severely injured were enrolled in this report. The donor sites of the flaps were selected on the upper abdomen in 4 cases and on the lower abdomen in 8 cases. The division of the flap pedicles was done on the 10th - 13th postoperative days.

RESULTS

All the flaps survived except that there were two necrotic areas sized 2 cm x 2 cm and 1 cm x 1 cm, respectively, on the distal ends of the flaps in two cases. The hand function and contour recovered satisfactorily after the operation.

CONCLUSION

It could be an ideal choice for the repair of severely burned hand and wrist with abdominal thin skin flaps.