The use of the free parascapular flap in midpalmar soft tissue defect

Clinical applications of a new free flap are presented. The parascapular flap is a cutaneous unit whose blood supply is provided by a posterior branch of the inferior scapular artery. It is a safe and relatively large flap (approximately 8 by 12 cm or more) with a constant pedicle. It has no sensory nerve. The donor site is easy to close directly. As suggested by Baudet, we think it is useful in reconstruction of the palm and, in some cases, the dorsum of the hand.