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Related Experiment Video

Updated: May 21, 2026

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
10:36

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach

Published on: May 23, 2025

Finger pulp reconstruction with free flaps from the upper extremity.

Hede Yan1, Cunyi Fan, Weiyang Gao

  • 1The Sixth People's Hospital affiliated to Shanghai Jiaotong University, Shanghai, China.

Microsurgery
|June 22, 2012
PubMed
Summary

Free flaps offer excellent results for finger pulp reconstruction, especially for large defects where local flaps are unsuitable. This review summarizes upper extremity free flap options, their pros and cons, aiding reconstructive surgery decisions.

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Area of Science:

  • Plastic Surgery
  • Microsurgery
  • Reconstructive Surgery

Background:

  • Finger pulp defects present unique reconstructive challenges due to limited local tissue.
  • Local flaps are common, but free flaps are increasingly used for larger defects.

Purpose of the Study:

  • To review literature on upper extremity free flaps for finger pulp reconstruction.
  • To summarize clinical applications, advantages, and disadvantages of various free flaps.
  • To propose an algorithm for selecting the optimal free flap for finger pulp defects.

Main Methods:

  • Literature review of articles on finger pulp reconstruction using free flaps.
  • Analysis of clinical applications, advantages, and drawbacks of different free flap types.
  • Development of a selection algorithm based on literature and clinical experience.

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An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
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An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

Published on: December 5, 2025

Related Experiment Videos

Last Updated: May 21, 2026

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
10:36

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach

Published on: May 23, 2025

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
07:57

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

Published on: December 5, 2025

Main Results:

  • Free flaps provide excellent outcomes for finger pulp reconstruction, particularly for extensive defects.
  • Various upper extremity free flaps are suitable, each with specific benefits and limitations.
  • The convenience and patient compliance associated with free flaps in a single operative field are notable.

Conclusions:

  • Free flaps are a valuable option for finger pulp reconstruction, expanding reconstructive possibilities.
  • A clear consensus on the preferred free flap type is lacking.
  • An evidence-based algorithm can guide the selection of appropriate free flaps for optimal patient outcomes.