Skin-grafted subcutaneous adipose turnover flaps can be very useful in providing cover of exposed joints especially in critically ill patients. An exposed wrist joint due to a full-thickness electrical burn was successfully covered with a large turnover pure subcutaneous flap harvested from the forearm. Stable cover and good function with minimal donor site morbidity was achieved (22 months follow-up). The planning and the anatomical bases of this useful flap are discussed.
C Tremolada, G Ponzielli, P Candiani, L Donati