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Use of the Groin Flap in Traumatic Hand Injuries
Edie Benedito Caetano1, João José Sabongi Neto1, Luiz Angelo Vieira1
1Departament of Surgery, Faculdade de Ciências Médicas e da Saúde, Pontifícia Universidade Católica de São Paulo, Sorocaba, SP, Brazil.
Objective:
To analyze the use of the groin flap in the treatment of traumatic injuries that are not very extensive, with tissue loss in the wrist and hand region.
Methods:
We performed 14 flaps from the inguinal region to reconstruct traumatic hand injuries. The age of the sample ranged from 21 to 56 years, and all patients were male.
Results:
Complete flap survival was recorded in all limbs. In seven patients, there were complications: in two, partial necrosis, for which flap debridement was necessary, and the area was covered with a skin graft. In four cases, marginal necrosis occurred, which later healed spontaneously. Partial loosening at the receiving area was observed in one case in the first week, requiring complete suturing.
Conclusion:
Even with the advent of microsurgical techniques, the groin flap remains a good and safe method to repair hand injuries with tissue loss, with or without loss of bone tissue.
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