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[Repair of soft tissue defect of the hand with a fascia lata flap by microvascular anastomosis].

OBJECTIVE
This is to report the clinical experience in repair of the soft tissue defects of the hand using a free fascia lata flap and skin graft.


METHODS
Eight cases of soft tissue defects of the hand were repaired with a fascia lata flap by means of microvascular anastomosis. The size of the fascia lata flap ranged from 2.5 cm x 7 cm to 6 cm x 16 cm.


RESULTS
All the fascia lata flaps survived completely with satisfactory results.


CONCLUSION
The flap is nourished by the descending branch of the lateral femoral circumflex artery and seems to have a constant vascular supply and a long pedicle. The dissection of the flap is easy. The flap is thin and very suitable for repair of soft tissue defects of the hand.