✦ LIBER ✦

Free and island flap transfer for soft tissue defects in the hand and forearm

✍ Scribed by Hiroshi Yajima; Susumu Tamai; Akihiro Fukui; Hiroshi Ono; Yuji Inada

Publisher: John Wiley and Sons
Year: 1996
Tongue: English
Weight: 452 KB
Volume: 17
Category: Article
ISSN: 0738-1085
DOI: 10.1002/(sici)1098-2752(1996)17:3<150::aid-micr10>3.0.co;2-z

No coin nor oath required. For personal study only.

✦ Synopsis

Two hundred twenty patients with soft tissue defects in the hand and forearm were treated with 226 free and island flap transfers. Reconstructed sites involved the thumb in 74 cases, the fingers in 1 17, the hand in 30, and the forearm in 5. Seventy-nine patients received 82 free flaps, and 141 patients received 144 island flaps. Fifty-six finger reconstruction cases and 73 of 74 thumb reconstruction cases had sensory flap transfers. In the free flap transfer group, 77 flaps survived (93.9%), and 5 failed. In the island flap transfer group,l40 flaps survived (97.2%), and 4 failed. Of the fivefailures in the free flap transfers, four were dorsalis pedis flaps, two of which were on patients with an atteriovenous fistula. Of the four failures in the island flap transfers, two were posterior interosseous flaps and two were digital island flaps. All four were reverse-flow island flaps.

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