• Shimin Zhang, Chunlin Hou, and Guangrong Yu.
• Department of Orthopedic Surgery, Tongji Hospital of Tongji University, Tongji University, Shanghai, 200065, P. R. China. shiminchang@yahoo.com.cn
• Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2005 Jul 1; 19 (7): 531-2.

ObjectiveTo introduce the clinical experience of local distally based turnover adipofascial flap for small to medium size wound of the extremities.MethodsFrom 1994 to 2003, 33 cases of distally based longitudinal neuro-veno-adipofascial turnover adipofascial flap (axial perforator pattern in 26, random pattern in 7) were transferred in the forearm (19) and lower leg (14). These flaps were all raised in the forearm or lower leg as local flaps. The length (pedicle plus flap) was 9 to 18 cm and the width was 3 to 4 cm, with L/W ratio of 3 to 5 : 1. After transferring by 180 degrees turnover, a split-thickness skin graft was used to cover the fascia surface.ResultsAll the 33 flaps survived. The donor sites were closed directly, and the recipient sites were covered with full- or split-thickness skin grafts. Both donor and recipient sites healed primarily.ConclusionTurnover adipofascial flap is a simple and reliable method for small to medium size wound of the extremities.

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