Tips to orient pedicled groin flap for hand defects.

A groin flap is an axial-patterned cutaneous flap based on the superficial circumflex iliac arteriovenous system, which can provide soft-tissue coverage to defects on any aspect of the hand and the distal two thirds of the forearm. One of the presumed disadvantages of the pedicled groin flap is the discomfort experienced by the patient during the time required before flap division. These disadvantages can be greatly reduced by proper planning to orient the flap toward the defect, avoid any kinking at the base, and increasing the inset. We present our technique of orienting the flap to fit to the defect to be covered with ease. This technique avoids a lengthy flap and tubing, increases the patients comfort, and also makes the division and inset of the flap easier. As described, we have found this method simple and easy to duplicate.