The Turbocharged Becker Flap: a Simple Variation that Allows Coverage of Most o...

• Author(s): Gomez, MM ; Casal, D
• Date: 2011
• Persistent ID: http://hdl.handle.net/10400.17/563
• Origin: Repositório do Centro Hospitalar de Lisboa Central, EPE
• Subject(s): Retalho de Becker; Retalho da Artéria Ulnodorsal; Retalho Fasciocutâneo; Defeitos da Mão; Anastomose Venosa; HSJ CPR; HCC
• Document Type: Article
• Language: English

Description

Cover of medium and large defects of the dorsum of the hand remains a substantial surgical challenge that often requires free tissue transfer. We report the case of a 28-year-old male who presented with necrosis of most of the dorsum of his dominant hand after an iatrogenic injury. A large Becker flap was raised to cover the entire defect. However, venous insufficiency was noted intraoperatively. The flap was turbocharged by performing a venous anastomosis between the flap and the recipient site, resulting in complete survival of the flap. The authors conclude that the turbocharged Becker flap can be a good alternative for expeditiously covering large defects of the dorsum of the hand without having to resort to free tissue transfer.