Pedicled groin flaps for upper-extremity reconstruction in the elderly: a report of 4 cases.

Buchman, Sandra J; Eglseder, W Andrew; Robertson, Bradley C · Arch Phys Med Rehabil · 2002

case_series · Level IV

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Abstract

The pedicled groin flap is a useful, versatile flap for coverage of wounds of the hand and distal forearm. It produces predictable results with a procedure that is much less difficult to perform and takes less time than a free-tissue transfer. Contrary to the general belief that the groin flap should not be used in the elderly because of the risk of shoulder stiffness, we found satisfactory results with this procedure in 4 elderly patients (age range, 59-75 y) when immediate shoulder mobilization was instituted and physical therapy was continued during flap maturation and pedicle division.

Medical subject headings

Anatomy