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Updated: Jul 16, 2026
10:36
Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
Published on: May 23, 2025
[Locoregional soft tissue coverage for defects in the hand].
1Klinik für Hand, Plastische und Rekonstruktive Chirurgie, Schwerbrandverletztenzentrum, Berufsgenossenschaftliche Unfallklinik Ludwigshafen, Ludwigshafen.
Summary
Reconstructive surgery for hand soft tissue defects is challenging. Sophisticated intrinsic flaps provide effective locoregional coverage for tendons, bones, and joints, improving aesthetic and functional outcomes.
Area of Science:
- Orthopedic Surgery
- Plastic Surgery
- Hand Surgery
Context:
- Soft tissue defects in the hand pose significant reconstructive challenges.
- Exposed tendons, bones, or joints require specialized coverage techniques.
- Locoregional flaps are crucial for restoring hand function and aesthetics.
Purpose:
- To provide an overview of intrinsic flap options for hand reconstruction.
- To discuss indications and clinical applications of various flap groups.
- To share clinical experience from over 100 flap procedures.
Summary:
- Intrinsic flaps offer diverse therapeutic options for hand soft tissue defects.
- These flaps enable coverage of exposed vital structures, achieving good functional and aesthetic results.
- The article categorizes flaps, outlines indications, and presents clinical usage based on extensive experience.
Impact:
- Enhances understanding of advanced reconstructive techniques in hand surgery.
- Aids surgeons in selecting appropriate flaps for complex hand defects.
- Contributes to improved patient outcomes in hand reconstruction.
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