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Case Reports
. 2023 Nov;78(11):610-613.

[An «all around» version of the Mac Gregor free flap]

[Article in French]
Thomas Thiry  1   2 , Alain Carlier  2 , Lindsay Morana  3 , Patrick Massage  2 , François Melebeck  4 , Thierry Thirion  1
Affiliations
  • PMID: 37955289
Free article
Case Reports

[An «all around» version of the Mac Gregor free flap]

[Article in French]
Thomas Thiry et al. Rev Med Liege. 2023 Nov.
Free article

Abstract
in English, French

Given the appearance of a good number of cover flaps in recent decades, the Mac Gregor flap in its free form is used less and less but still finds its place today in certain complex cases with extensive loss of substance. This report describes an unusual case of wide tissue coverage by «all around» flap by Mac Gregor technique in a victim of an extensive burn of the left upper limb which occurred on 08/08/1997 and was responsible for a progressive flessum of the wrist and a hyperextension of the fingers with a complete loss of their mobility. The intervention is done in one step with a wide release of the scarred areas of the wrist and hand and the realization of the free inguinal flap in «all around». Here we discuss the type of flap, the surgical approach, the different advantages and disadvantages compared to other known flaps and the possible complications of the Mac Gregor free inguinal flap.

Suite à l’apparition de nombreux lambeaux de couverture au cours des dernières décennies, le lambeau de Mac Gregor sous sa forme libre est de moins en moins utilisé mais trouve encore sa place aujourd’hui dans certains cas complexes avec des pertes de substance étendues. Ce rapport décrit un cas inhabituel de large couverture tissulaire par un lambeau libre de type Mac Gregor en «all around flap» chez une victime d’une brûlure étendue du membre supérieur gauche survenue le 08/08/1997 et responsable d’un flessum progressif du poignet et d’une hyperextension des doigts avec une perte complète de leur mobilité. L’intervention se fait en un temps avec une large libération des zones cicatricielles du poignet et de la main et la réalisation du lambeau inguinal libre en «all around flap». Nous discutons ici du type de lambeau, de l’approche chirurgicale, des différents avantages et inconvénients par rapport à d’autres lambeaux connus et des possibles complications du lambeau inguinal libre de Mac Gregor.

Keywords: Burn; Mac Gregor free inguinal flap; Upper limb coverage; complications.

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