Superficial circumfix iliac artery pure skin perforator-based super thin flap for hand and finger reconstruction

For hand and finger reconstruction, thin and flexible skin coverage is ideally required. A free flap is one of surgical options used for large defects. However, a flap that contains the fat layer is bulky. Several debulking surgeries are often needed aesthetically and functionally. To overcome this disadvantage, we herein report our experience of six cases of hand and finger reconstruction using a pure skin perforator (PSP) flap concept. A PSP flap is a thin skin flap that is vascularized by a perforator branch penetrated dermis.

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