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Updated: May 1, 2026

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Local flaps of the hand.

Shady A Rehim1, Kevin C Chung2

  • 1Section of Plastic Surgery, Department of Surgery, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5340, USA.

Hand Clinics
|April 16, 2014
PubMed
Summary

Local skin flaps, maintaining their own blood supply, offer reliable soft tissue replacement for hand and digit defects. Flap circulation is key to survival, guiding reconstructive strategies.

Keywords:
Hand flapsReconstructionSoft tissue coverage

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Area of Science:

  • Plastic Surgery
  • Hand Surgery
  • Reconstructive Surgery

Background:

  • Local flaps provide essential soft tissue replacement for defects.
  • Maintaining intrinsic blood supply is crucial for flap viability.
  • Flap classification considers composition, transfer, design, and circulation.

Purpose of the Study:

  • To review the classification of local skin flaps used in hand surgery.
  • To present a practical approach for reconstructing soft tissue defects of the hand and digits.

Main Methods:

  • Review of local skin flap classifications.
  • Discussion of reconstructive techniques for hand and digit defects.

Main Results:

  • Local flaps are categorized by various factors, with circulation being paramount.
  • A practical framework for selecting and applying local flaps for hand reconstruction is outlined.

Conclusions:

  • Understanding local flap classification aids in successful soft tissue reconstruction.
  • Effective flap selection and application are vital for optimal outcomes in hand and digit repair.