Flap transfer for complications of major limb replantation

Our experience in the management of necrotizing and suppurating wound complications after major upper extremity replantation is presented. Seven patients underwent wound debridement and coverage with flaps. Of these, 6 were reconstructed with latissimus dorsi flaps and 1 with the scapular flap. In 3 of these patients, concomitant hemorrhage (2 patients) or thrombosis (1 patient) was simultaneously corrected by vein grafting. In all cases there was survival of both the flap and the replanted extremity.