The clinical application of adipofascial turnover flaps for coverage of severe burn wounds on the digits.

This article presents particular occupational burn injuries resulting in a complex defect of the digits. Nine patients with exposed bone or tendon wounds on the digits were successfully treated using the pedicle adipofascial turnover flap overlaid with skin grafts. Electrical and high-temperature contact burns resulted in five and four severe cases, respectively. Flaps were harvested from the adjacent dorsal area of the injured digit and the dimension was 2 to 4 mm wider than the defect base on their reliable blood supply. It was suggested that the advantages of adipofascial turnover flaps include a simple, one-stage procedure and minimal donor site deformity.