Basharat Manzoor, Tahseen A Cheema.
Soft tissue coverage in hand; Role of Foucher Island flap.
Professional Med J Jan ;10(4):261-6.

The foucher flap is a cutaneous island with a pedicle that has the triple advantages of arterial, venous, and neural connections. The foucher flap can cover a defect within a radius equal to the length of its pedicle. It can be used in an emergency to preserve a distal thumb fragment whose vascular repair by micro-surgical means is not possible. Objective: Evaluation of the role of Foucher Island. Design: Prospective study Setting: Orthopeadic unit Bahawal Victoria Hospital Bahawalpur. Period: Oct 1994 to Dec 1998. Materials & Method: The procedure has been employed in four patients. All male patients of ranging age from 6-40 years. Results: Good results in all four cases regarding to our criteria. Conclusion: Foucher island flap is recommended to coverage the soft tissue defects over the volar and dorsal aspect of the hand and especially over the distal thumb.

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