Defining the Indications of Pedicled Groin and Abdominal Flaps in Hand Reconstruction in the Current Microsurgery Era

Al‐Qattan, Mohammad M.; Al-Qattan, Ahmed M.

doi:10.1016/j.jhsa.2016.06.006

Cited by 59 publications

(62 citation statements)

References 48 publications

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“…[7][8][9] These properties make them first line of choice for a better functional outcome. In the current era of microsurgery, pedicled 10 This has been documented by the experience of several authors with abdominal and groin flaps. 1,2,10,11 Since the initial description of TUF by Taylor et al, 4 many authors have described its clinical utility in various regions of the upper limb.…”

Section: Discussionmentioning

confidence: 99%

“…In the current era of microsurgery, pedicled 10 This has been documented by the experience of several authors with abdominal and groin flaps. 1,2,10,11 Since the initial description of TUF by Taylor et al, 4 many authors have described its clinical utility in various regions of the upper limb. [12][13][14][15] It was termed as paraumbilical flap by several authors.…”

Section: Discussionmentioning

confidence: 99%

“…23,24 Complex circumferential degloving injury to the multiple digits almost always requires a pedicled flap. 10,25,26 Very rarely total degloving injuries to the hand have been managed with free flaps. 27 Coverage of amputated stump of the thumb or multiple fingers by pedicled flap is a well-established entity.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Thoracoumbilical Flap: Anatomy, Technique, and Clinical Applications in Upper Limb Reconstruction in the Era of Microvascular Surgery

Naalla

Dawar

et al. 2018

J Hand Microsurg

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Thoracoumbilical Flap: Anatomy, Technique, and Clinical Applications in Upper Limb Reconstruction in the Era of Microvascular Surgery

Naalla

Dawar

et al. 2018

J Hand Microsurg

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“…Possible free flap options for hand reconstruction include the ALT flap, lateral arm flap, superficial circumflex iliac artery perforator flap, and flaps from the subscapular system, which all provide good functional and aesthetic results . Alternatively, traditional groin flaps or groin‐ALT flaps may offer staged closure of the wound, although caution should be taken in the setting of unknown margin clearance …”

Section: Surgical Reconstruction Following Tumor Resectionmentioning

confidence: 99%

“…[80][81][82] Alternatively, traditional groin flaps or groin-ALT flaps may offer staged closure of the wound, although caution should be taken in the setting of unknown margin clearance. 83,84 Many other options exist for soft tissue coverage of the hand, including local, free tissue, and venous flow through flaps. As a last resort, the harvest and use of spare parts from amputated segments can be used for wound closure and restoration of function.…”

Section: Soft-tissue Coveragementioning

confidence: 99%

Primary tumors of the hand: Functional and restorative management

Bowen

Landau

Badash

et al. 2018

Journal of Surgical Oncology

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Primary malignant tumors of the hand are rare. Most cases present to clinics unaffiliated with cancer centers, making it incumbent on all hand surgeons to understand the pathology indicative of malignancy and the proper course of treatment of hand neoplasms. In this review, we report, based on tumor type, the anatomical considerations, proper management, staging, surgical approaches, reconstructive considerations, and long‐term surveillance of primary malignant tumors of the hand.

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The V‐Y advancement flap based on the dorsal carpal perforators for dorsal metacarpal reconstruction: Anatomical and clinical study

Chen

Zhang

et al. 2020

Clinical Anatomy

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Introduction: Soft-tissue defects on the dorsal hand accompanied by exposed bone and tendon remain a challenge for plastic surgeons. The purpose of this study was to observe the morphological characteristics of the dorsal carpal perforators in the wrist and to design a V-Y advancement flap based on the dorsal carpal perforators. Materials and Methods: Thirty cadaveric hand specimens were dissected to observe the origin, course, branches, and anastomoses of the dorsal carpal perforators, and a V-Y advancement flap was designed based on these perforators. Clinically, nine cases of dorsal hand defects were reconstructed with this flap. Results: The dorsal carpal vascular network was formed by vascular anastomoses along the dorsal carpal branch of the radial artery, dorsal carpal branch of the anterior interosseous artery, ascending branch of the dorsal carpal perforator from the deep palmar arch, direct branch of the radial artery, dorsal carpal branch of the ulnar artery, posterior interosseous artery, and deep palmar branch of the ulnar artery; this network could be divided into a deep vascular network and superficial vascular network according to the anatomical plane. Among the perforators, the third and fourth perforators that pierce out bilaterally from the tendon of the extensor digitorium had a consistent occurrence rate (100%) with an outer diameter of 0.7 ± 0.3 mm and 0.6 ± 0.2 mm, respectively, and thus could be chosen as the vascular pedicle. In clinical applications, all flaps survived completely with excellent color and texture, a satisfactory appearance, and normal movement of the wrist joint. Conclusions: A V-Y advancement flap based on the dorsal carpal perforators can become a useful choice for the repair of dorsal metacarpal defects caused by trauma or dorsal metacarpal arterial flaps.

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Defining the Indications of Pedicled Groin and Abdominal Flaps in Hand Reconstruction in the Current Microsurgery Era

Cited by 59 publications

References 48 publications

Thoracoumbilical Flap: Anatomy, Technique, and Clinical Applications in Upper Limb Reconstruction in the Era of Microvascular Surgery

Thoracoumbilical Flap: Anatomy, Technique, and Clinical Applications in Upper Limb Reconstruction in the Era of Microvascular Surgery

Primary tumors of the hand: Functional and restorative management

The V‐Y advancement flap based on the dorsal carpal perforators for dorsal metacarpal reconstruction: Anatomical and clinical study

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