Successful groin flap for dorsal hand defect in elderly patient with comorbidity

Hakami A.

doi:https://doi.org/10.17116/hirurgia202501186

Hakami A.

University Hospital Magdeburg and Teaching assistant medical college

ORCID: 0009-0009-2007-5409

Successful groin flap for dorsal hand defect in elderly patient with comorbidity

Authors:

Hakami A.

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Journal: Pirogov Russian Journal of Surgery. 2025;(1): 86‑92

DOI: 10.17116/hirurgia202501186

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Hakami A. Successful groin flap for dorsal hand defect in elderly patient with comorbidity. Pirogov Russian Journal of Surgery. 2025;(1):86‑92. (In Russ.)
https://doi.org/10.17116/hirurgia202501186

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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Abstract:

The pedicled groin flap is a valuable and versatile option for covering wounds on the hand and distal forearm, offering predictable results with a procedure that is less complex and time-consuming than free-tissue transfer. Contrary to the common belief that the groin flap should be avoided in elderly patients due to the risk of shoulder stiffness, we observed satisfactory outcomes in a 93-year-old woman with comorbidities of type 2 DM, Arterial hypertension and rheumatoid arthritis and status post Hip TEP on both sides in 2009 and 2007. Immediate shoulder mobilization and continued physical therapy during flap maturation and pedicle division were essential to achieve positive results.

Keywords:

groin flap

dorsal hand injury

pedicled flaps

Authors:

Hakami A.

University Hospital Magdeburg and Teaching assistant medical college

ORCID: 0009-0009-2007-5409

Received:

25.05.2024

Accepted:

04.07.2024

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References:

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