Necrotizing soft tissue infections are often associated with significant morbidity and mortality Early surgical excision along with antibiotic therapy is the cornerstone of management. Salvage of these extremities is often difficult due to loss of soft tissues, tendons, nerves and blood vessels. Skin grafting of the granulating wound is the common method of closure in these patients. Use of various flaps has improved reconstructive options in these extremities. A case of salvage of upper extremity using a groin flap following extensive debridement is reported.
FreischlagJ.A., AjalatG., BusuttilR.W.. Treatment of necrotizing soft tissue infections. The need for a new approach.Am J Surg1985; 149: 7515.
4.
TopperS.M., PlagaB.R., BurnerW.L.III. Necrotizing myonecrosis and polymicrobial sepsis. The role of adjunctive hyperbaric oxygen.Orthop Rev1990; 19: 895900.
5.
YuenJ.C., FengZ.. Salvage of limb and function in necrotizing fasciitis of the hand: Role of hyperbaric oxygen treatment and free muscle flap coverage.South Med J2002; 95: 2557.
6.
McGregorI.A., JacksonI.T.. The groin flap.Br J Plast Surg1972; 25: 316.
