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The Limberg flap: This is a transposition flap, displaying closure of a rhomboid-shaped defect. The interpolation flap rotates a couple of pivot level into a close by but not adjacent defect, with the pedicle passing above or beneath a skin bridge. An example is an island pedicle flap such as the Littler neurovascular flap for the hand. One seldom-used flap kind is the de-epithelialized turnover flap. In this flap design, an area of skin adjacent to a wound is de-epithelized.
This dermis is raised as a flap, holding a "hinge" area between the flap and the defect. The flap is turned over like a web page in a guide. Use distant flaps to cover nonadjacent defects. They may be transferred straight, tubed, or transferred by microvascular method. Direct flap: A direct flap is transferred to a distant site immediately so that the donor and recipient websites are approximated. The flap is divided after 1-3 weeks and inset. Examples of direct flaps include the groin flap (used for reconstruction of the hand) and the crossfinger or thenar flap (for fingertip reconstruction).
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