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Updated: Jun 19, 2026

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
Published on: May 23, 2025
Simultaneous pedicled flaps for coverage of complex blast injuries to the forearm and hand (with supplemental
S M Tintle1, K Wilson, P L McKay
1National Naval Medical Center, Bethesda, MD 20889, USA. scott.tintle@med.navy.mil
Abstract:
The technique of two simultaneous pedicled flaps to a single extremity has recently proven useful in the care of war-injured military personnel. We present two cases of combat-injured Marines who underwent upper extremity reconstruction using simultaneous pedicled flaps. These cases illustrate a simple and successful alternative to free tissue transfer in providing coverage to complex soft tissue defects of the hand and forearm. Good outcomes were obtained in circumstances where free tissue transfer was not indicated.
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