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DOI: 10.1055/a-2640-4061
Domino Flap Using Bilobed Flap for Large Scapular Flap Donor Site: A Case Report
Funding None.
Abstract
Scapular flaps are favored for large soft tissue defects, but with a high risk of shoulder contracture. This case report presents a novel application of a bilobed flap technique to cover the donor site after harvesting a 23-cm scapular flap. The patient was a 25-year-old male with a right-hand open degloving injury measuring 25 × 22 cm. The scapular flap was planned to cover the soft tissue defect, and the bilobed flap was used to close the donor site. After 6 months, the left shoulder showed full range of motion, and the scapular flap was viable with good right-hand function. This case introduces the largest bilobed flap used to date. The report emphasizes two main advantages, it prevents shoulder contracture and allows surgeons to exceed the traditionally recommended flap size with minimal donor site morbidity. The large bilobed flap has proven effective in closing donor site defects following scapular flap harvest, demonstrating satisfactory outcomes. Additionally, this technique can be utilized to address other donor site defects.
Authors' Contributions
Conceptualization: M.M., A.I., A.F.H., A.S.L.
Methodology: M.M.
Supervision: M.M.
Validation: M.M., A.I.
Investigation: A.I., A.F.H., A.S.L.
Writing – Original Draft: A.F.H., A.S.L.
Ethical Approval
This case report does not require ethical approval based on the Universitas Gadjah Mada research ethics committee's guidelines. It focuses on a patient's treatment and medical care, not research. Our institution's ethics committee confirmed that this report aligns with routine clinical practice and does not involve experimental interventions or additional data collection. We are ready to provide more information if needed, underscoring our commitment to ethical practices.
Patient Consent
Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.
Supporting Data Availability
Supporting data will be available upon reasonable request.
* First author.
Publikationsverlauf
Eingereicht: 22. September 2024
Angenommen: 15. Juni 2025
Accepted Manuscript online:
20. Juni 2025
Artikel online veröffentlicht:
29. August 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical Publishers, Inc.
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