A three-subunit latissimus dorsi muscle free flap for single-stage coverage of the hand and three adjacent fingers.

UNLABELLED: A latissimus dorsi muscle flap was used to simultaneously resurface the dorsal index, middle, and ring fingers of a 10-year-old child who had sustained a severe abrasion burn from a go-kart injury. Rather than performing multiple individual flaps, or a single flap in which a secondary division procedure would have been needed, the flap was divided into three vascular territories, permitting a single-stage reconstruction. Use of this strategy minimized the need for prolonged rehabilitation, and the functional outcome was optimized. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s11552-009-9208-5) contains supplementary material, which is available to authorized users.