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Updated: Aug 22, 2026

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
Published on: May 23, 2025
[Repair and function reconstruction of complex soft tissue defect of posterior of hand and forearm]
Junqing Gao1, Xunwen Chen, Kefei Yang
1Department of Hand and Foot Microsurgery, Foshan Hospital of Traditional Chinese Medicine, Foshan Guangdong, PR China. gao-7950@163.com
Objective:
To study the repair and function reconstruction of complex soft tissue defect of posterior of hand and forearm.
Methods:
From May 2001 to November 2003, 8 cases of soft tissue defect of posterior of hand and forearm were repaired with thoracico abdominal flaps with hilum for primary stage. The tendon transplantation and allogeneic tendon function reconstruction of hand were performed for secondary stage. The range of the flap was 9 cm x 15 cm to 12 cm x 38 cm. Allogeneic tendon amounted to 6.
Results:
All the flaps survived. The flap countour was good. The results of allogeneic tendon transplantation were satisfactory and the function of hand was good.
Conclusion:
Repairing complex soft tissue defect of posterior of hand and forearm and reconstructing hand function by use of thoracico abdominal flaps with hilum and transplantation of allogeneic tendon have the satisfactory clinical results.
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