Thoracodorsal artery perforator fasciocutaneous flap: A versatile alternative for coverage of various soft tissue defects
A 20-year-old man had suffered postburn right antecubital burn contracture causing restriction of extremity abduction for 12 years due to flame burn. The patient had not previously undergone reconstructive surgery. The TDAP flap was planned for reconstruction. During the operation, the contracted scar was completely released. The thoracodorsal perforator-based cutaneous flap, 18 × 9 cm in size, was harvested by including the first two perforators of the lateral branch of thoracodorsal artery. After complete elevation of the flap, thinning was performed except at the area 1 cm around the vascular perforator. Subsequently, the flap then transferred to the defect on its pedicle and sutured in defect. The donor site was closed primarily. There was no restriction of the extremity abduction at 8-months postoperatively. The result was accepted as satisfactory by the patient and the physician [].