Microsurgery: Transplantation and Replantation by Harry J. Buncke, MD, et al.
  Table of Contents / Chapter 12:
The Scapular Cutaneous Flap
 
 

CASE 3

A young woman suffered multiple extremity burns.

FIG. 12-12. Unstable skin over both Achilles tendons.


FIG. 12-13. Bilateral scapular flaps outlined.


FIG. 12-14. Right flap elevated. The left flap was elevated simultaneously.


FIG. 12-15. Both flaps inset simultaneously with two operating microscopes.


FIG. 12-16.Late follow-up with closed wounds.


FIG. 12-17. Acceptable donor scarring.


CASE 4

A patient suffered a severe crush injury following a motor vehicle accident.

FIG. 12-18. The little finger, hypothenar eminence, and fifth metatarsal were amputated.


FIG. 12-19. Dorsal view.


FIG. 12-20. Amputated part.


FIG. 12-21. A scapular flap is outlined to cover the dorsal skin loss.

 


FIG. 12-22. Flap elevated.


FIG. 12-23. Unfortunately, the replanted part failed, but the scapular flap survived.


FIG. 12-24. Condition after debridement. A remnant of second metatarsal has been preserved.


FIG. 12-25. The metacarpal stump and ulnar part of the hand were covered with an immediate groin flap, preserving key pinch.


CASE 5

A patient had a crush injury to the ulnar side of the hand.

FIG. 12-26. Soft tissue loss.


FIG. 12-27. Scapular flap next to wound.


FIG. 12-28. Healed flap in place. Palmar view.


FIG. 12-29. Dorsal view.


FIG. 12-30. Flexion.


CASE 6

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