Articles Vol. 67 No. 6 25/06/2026

THE INITIAL OUTCOME OF TREATMENT OF EXTENSIVE SKIN LOSS EXTREMITIES AFTER TRAUMA WITH A FREE PARASCAPULAR FLAP

Nguyen Quang Vinh1,2, Mai Trong Tuong1,2, Vo Anh Tri1,2, Mai Thi Tram Anh1,2
1 Faculty of Microsurgery and Reconstructive Surgery, Hospital for Traumatology and Orthopaedics at Ho Chi Minh city
2 Khoa Vi phẫu - Tạo hình, Bệnh viện Chấn thương Chỉnh hình thành phố Hồ Chí Minh
DOI: 10.52163/yhc.v67i6.5473
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Keywords
Scapular flap, parascapular flap, circumflex scapular artery perforator flap, free flaps.
Abstract

Objective:Evaluating the initial outcomeof treatment of extensiveskinlossextremitiesaftertraumawithafreeparascapularflap.

Subjects and methods: This is a case series, prospective study. There were 5 patients during the period from March, 2025 to January, 2026 at the Faculty of Microsurgery and Reconstructive Surgery, Hospital for Traumatology and Orthopaedics at Ho Chi Minh city.

Results: All flaps are alive and the donor site were directly closed. The average follow-up period was 6 months. The flap is of moderate thickness, which can be used to cover many areas of the hands and feet: 1 case on the back of the hand, 1 case on the sole of the foot, 3 cases on the back of the foot. The average size of the flap is 197 cm2, of which the largest flap is 21 × 11 cm.

Conclusion: The use of a free parascapular flap to cover the soft tissue of the extremities is reliable. The flap has a constant blood supply, which can be raised with a large size and has moderate thickness. The position for the donor site can be closed primarily, the scar is aesthetic and does not limit movement.

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