From July 1988 to Jan 1990, 7 cases of hand injuries with skin defects have been reconstructed using anterolateral femoral free flaps. Reconstruction was successful. The anterolateral femoral flap was suitable for the skin defect in the dorsum and wrist of the hand. In this paper, advantages and disadvantages, management of variations in flap vascular pedicle, delayed primary transplantation of the free flap were discussed.
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