Bilateral free myocutaneous latissimus dorsi flap repair of the upper limb amputation stumps due to electrical injury

Abstract

High-voltage electrical injuries of the extremities result in necrosis of deep structures as well as skin and subcutaneous tissues. This necrosis may contribute to the decreased function or loss of the affected limb and even life-threatening complications such as renal failure and sepsis. A delay in debridement and reconstruction can lead to increased morbidity and mortality rates. Currently accepted methods in the management of these patients is early thorough debridement and flap coverage [1,2]. This article reports the successful free flap coverage of defects of both upper limbs in a patient with high-voltage electrical burns of both upper extremities and one lower extremity.