ePlasty: Vol. 19
Bilateral Cross Arm Flaps for Resurfacing Hands After High-Voltage Injury
Nikhil R. Shah, BA,a Wess A. Cohen, MD,a Haripriya S. Ayyala, MD,a David Mathes, MD,b and Ashley Ignatiuk, MDa

aDivision of Plastic and Reconstructive Surgery, Rutgers New Jersey Medical School, Newark; and bDivision of Plastic and Reconstructive Surgery, University of Colorado, Denver


Correspondence: ai253@njms.rutgers.edu
Keywords: flap, hand, high-voltage, pedicle, resurfacing

DESCRIPTION

This 43-year-old woman suffered severe bilateral electrical burns to the hands after an accident performing Lichtenberg wood burning—a technique using a high-voltage power supply to run current through a piece of wood producing fractal burn patterns. Electrical burns were present on both hands with the most severe injury being to the left thumb (Fig 1).

Figure 1. Electrical burns on the hands. (a) Burns seen on the palmar surface of the left hand with severe burns to the thumb, thenar eminence, and second digit. (b) Dorsal surface of the left hand showing severe burns to the thumb and third and fourth digits. (c) Superficial burns s .......