Vol. 4, Issue 7 (2018)
Reconstruction of post electric burn defects of upper limb with different modification of flaps
Author(s): Sanjay Kumar Giri, Satyajit Sahoo, Arpan Haldar, Sanjukta Sahoo
Abstract: Introduction: Post electric burn defects are difficult to manage due to deep injury involving all the structures up to bony level. A good vascularized flap is required to resurface the defect for preventing the complication and for reconstruction. Aim of study: Resurface the post electric burn defect with different flaps according to need of defect. Material and method: All patients of electric burn hand and fore arm defect admitted to burn, plastic and reconstructive department of SCB Medical College, Cuttack and Dept. of Burn and Plastic Surgery, AIIMS Bhubaneswar between January 2015 to December 2017 with different flap covers used for reconstruction. Observation: Out of 30 cases of post electric burn forearm and hand reconstruction, 10 cases undergone groin flap cover, 6 cases undergone abdominal flap cover,5 cases undergone cross finger flap cover 4 cases undergone free anterolateral thigh flap cover, four cases undergone free Latissimus dorsi flap cover. Flaps have resurfaced the defect with minor complication like infection and minor necrosis of flaps which were managed. Conclusion: Reconstruction of post electric burn defect of distal fore arm and hand represents great challenge due to depth of injury involving full thickness of skin and other structures Choice depends on size of defect, availability of local or regional tissue, patient’s acceptance and cooperation, keeping in mind the cost effectiveness of the procedures.