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Related Experiment Video

Updated: May 6, 2026

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

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Multiple-digit resurfacing using a thin latissimus dorsi perforator flap.

Sang Wha Kim¹, Ho Jun Lee², Jeong Tae Kim²

¹Department of Plastic and Reconstructive Surgery, The Catholic University of Korea, Seoul, South Korea.

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS

|November 12, 2013

Summary

Thin latissimus dorsi perforator flaps effectively reconstruct complex digital defects. This surgical technique offers a pliable, thin option for challenging hand reconstructions, minimizing donor site morbidity.

Keywords:

Bone graft Free tissue flap Latissimus dorsi flap Perforator flap

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Area of Science:

Plastic Surgery
Microsurgery
Reconstructive Surgery

Background:

Traumatic digit defects with insufficient local tissue pose significant reconstructive challenges.
Perforator flaps are increasingly utilized for hand reconstruction due to their thinness, pliability, and minimal donor site morbidity.

Purpose of the Study:

To evaluate the efficacy of thin latissimus dorsi perforator flaps in reconstructing complex, large, and multiple digital defects.

Main Methods:

Retrospective case series of seven patients undergoing reconstruction with thin latissimus dorsi perforator flaps between January 2008 and March 2012.
Exclusion of single-digit resurfacing procedures; focus on large, circumferential, and multiple-digit defects.

Main Results:

All seven flaps survived completely, with a mean flap size of 160.4 cm(2).
Minor complications (partial flap loss, scar contracture) occurred in two patients.
Mean follow-up duration was 11.7 months.

Conclusions:

Thin latissimus dorsi perforator flaps are a viable and effective option for complex digital reconstructions, including large, multiple, or circumferential defects.
The flap's thinness, pliability, and long pedicle facilitate intricate resurfacing without extensive debulking.
This technique offers a solution for challenging hand defects requiring extensive coverage.