[Fasciocutaneous flap according to Becker and Gilbert].

IF 1 4区医学 Q3 ORTHOPEDICS

Operative Orthopadie Und Traumatologie Pub Date : 2025-02-24 DOI:10.1007/s00064-025-00890-0

Bernhard Lukas, Christian Kindler

{"title":"[Fasciocutaneous flap according to Becker and Gilbert].","authors":"Bernhard Lukas, Christian Kindler","doi":"10.1007/s00064-025-00890-0","DOIUrl":null,"url":null,"abstract":"Objective: The fasciocutaneous flap according to Becker and Gilbert is used to cover soft tissue defects of the hand and wrist.Indications: Soft tissue reconstruction of palmar and dorsal defects of the hand and wrist. Coverage of the median nerve after neurolysis.Contraindications: Stenosis of the ulnar artery, scars at the ulnar distal forearm.Surgical technique: Drawing the flap design with the pivot point 2-4 cm proximal to the pisiform. Maximal length: 20 cm, maximal width: between palmaris longus muscle and finger extensor tendons. The flap is cut from radial palmar to ulnar dorsal and from proximal to distal together with the underlying fascia. The ulnar artery, the ulnar nerve and the dorsal branch of the ulnar artery are prepared distally. After cutting the distal skin bridge the flap is transposed to the defect. The donor side is closed directly or by a skin graft. As a modification, the flap is prepared as a fascious flap with overlying fat to cover the median nerve after neurolysis.Postoperative management: Immobilization of the wrist , in a soft palmar cast for 10 days; regular examination of the circulation of a fasciocutaneous flap.Results: The Becker flap was used in 10 persons: 4 times as fasciocutaneous flap, 6 times as fascious flap. For closing the donor side, a skin graft was necessary in 2 cases; no flap was lost.","PeriodicalId":54677,"journal":{"name":"Operative Orthopadie Und Traumatologie","volume":" ","pages":""},"PeriodicalIF":1.0000,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Operative Orthopadie Und Traumatologie","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00064-025-00890-0","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: The fasciocutaneous flap according to Becker and Gilbert is used to cover soft tissue defects of the hand and wrist.

Indications: Soft tissue reconstruction of palmar and dorsal defects of the hand and wrist. Coverage of the median nerve after neurolysis.

Contraindications: Stenosis of the ulnar artery, scars at the ulnar distal forearm.

Surgical technique: Drawing the flap design with the pivot point 2-4 cm proximal to the pisiform. Maximal length: 20 cm, maximal width: between palmaris longus muscle and finger extensor tendons. The flap is cut from radial palmar to ulnar dorsal and from proximal to distal together with the underlying fascia. The ulnar artery, the ulnar nerve and the dorsal branch of the ulnar artery are prepared distally. After cutting the distal skin bridge the flap is transposed to the defect. The donor side is closed directly or by a skin graft. As a modification, the flap is prepared as a fascious flap with overlying fat to cover the median nerve after neurolysis.

Postoperative management: Immobilization of the wrist , in a soft palmar cast for 10 days; regular examination of the circulation of a fasciocutaneous flap.

Results: The Becker flap was used in 10 persons: 4 times as fasciocutaneous flap, 6 times as fascious flap. For closing the donor side, a skin graft was necessary in 2 cases; no flap was lost.

查看原文本刊更多论文

求助全文

约1分钟内获得全文求助全文

来源期刊

Operative Orthopadie Und Traumatologie ORTHOPEDICS-

CiteScore

2.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Orthopedics and Traumatology is directed toward all orthopedic surgeons, trauma-tologists, hand surgeons, specialists in sports injuries, orthopedics and rheumatology as well as gene-al surgeons who require access to reliable information on current operative methods to ensure the quality of patient advice, preoperative planning, and postoperative care. The journal presents established and new operative procedures in uniformly structured and extensively illustrated contributions. All aspects are presented step-by-step from indications, contraindications, patient education, and preparation of the operation right through to postoperative care. The advantages and disadvantages, possible complications, deficiencies and risks of the methods as well as significant results with their evaluation criteria are discussed. To allow the reader to assess the outcome, results are detailed and based on internationally recognized scoring systems. Orthopedics and Traumatology facilitates effective advancement and further education for all those active in both special and conservative fields of orthopedics, traumatology, and general surgery, offers sup-port for therapeutic decision-making, and provides – more than 30 years after its first publication – constantly expanding and up-to-date teaching on operative techniques.