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


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.


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.


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.


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