Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Flail Chest-II

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:

Regional Terms

Regional Terms

Regional terms describe anatomy by dividing the body parts into different regions that contain structures involved in contributing similar functions. Using these terms helps increase the accurate description and identification of the particular region of interest or region affected by the disease.
Primarily, the human body has two major regions, the axial and appendicular regions. The axial region comprises regions from the head to the abdomen and makes up the central body axis. In contrast,...

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...

Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia

Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia

Depending on the target organ, local anesthetics (LAs) can be administered via various routes. In surface anesthesia, LAs are applied directly to the surface of the skin or mucous membranes. It is widely used for topical skin numbing before venipuncture or minor surgical procedures. Commonly used surface local anesthetics are lidocaine or benzocaine sprays or creams. Surface anesthesia occurs within 5 minutes and lasts for about 60 minutes. One of the main disadvantages of topical anesthesia is...

Cardiopulmonary Resuscitation II: ACLS Airway Management

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...

Assessment of Airway, Skin Color, and Use of Accessory Muscles

Assessment of Airway, Skin Color, and Use of Accessory Muscles

A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Senile Scaphoids: Outcomes of Surgical Fixation for Scaphoid Fractures in an Elderly Population.

Hand (New York, N.Y.)·2026

Same author

Accelerated Progression of Arthritis after Four-Corner Fusion in Patients with Calcium Pyrophosphate Deposition Disease.

Journal of wrist surgery·2026

Same author

Selective Attention Dynamics in Adults With Attention-Deficit/Hyperactivity Disorder: A Role for Sensory Processing Asymmetry?

Biological psychiatry global open science·2026

Same author

Distal Radius Volar Shear Fractures: A Computed Tomography Characterization and Analysis.

The Journal of hand surgery·2026

Same author

Return to Sports and Clinical Outcomes After Medial Ulnar Collateral Ligament Reconstruction With Semitendinosus Allograft in Overhead Athletes: A Retrospective Case Series.

Orthopaedic journal of sports medicine·2026

Same author

Beyond Neural Noise: Critical Dynamics Predict Slower Reaction Times in Adults With and Without ADHD.

bioRxiv : the preprint server for biology·2026

Search research articles

Related Experiment Video

Updated: Apr 30, 2026

Engineered Vascularized Muscle Flap

Engineered Vascularized Muscle Flap

Published on: January 11, 2016

Local and regional flaps for hand coverage.

Debdut Biswas¹, Robert W Wysocki¹, John J Fernandez¹

¹Section of Hand and Elbow Surgery, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.

The Journal of Hand Surgery

|April 29, 2014

Summary

This summary is machine-generated.

Reconstructing hand soft tissue defects requires specialized techniques. This review covers local and regional flaps for effective vascularized coverage, promoting rapid healing without contraction.

Keywords:

Coverage finger flap hand soft tissue

More Related Videos

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

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

Published on: December 5, 2025

The Superficial Inferior Epigastric Artery Axial Flap to Study Ischemic Preconditioning Effects in a Rat Model

The Superficial Inferior Epigastric Artery Axial Flap to Study Ischemic Preconditioning Effects in a Rat Model

Published on: January 27, 2023

Related Experiment Videos

Last Updated: Apr 30, 2026

Engineered Vascularized Muscle Flap

Engineered Vascularized Muscle Flap

Published on: January 11, 2016

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

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

Published on: December 5, 2025

The Superficial Inferior Epigastric Artery Axial Flap to Study Ischemic Preconditioning Effects in a Rat Model

The Superficial Inferior Epigastric Artery Axial Flap to Study Ischemic Preconditioning Effects in a Rat Model

Published on: January 27, 2023

Area of Science:

Orthopedics
Plastic Surgery
Hand Surgery

Background:

Soft tissue defects in the hand present unique challenges for surgeons.
Smaller defects may heal with secondary intention or skin grafting.
Larger defects or those with exposed vital structures necessitate advanced reconstruction methods.

Purpose of the Study:

To provide a comprehensive overview of surgical techniques for soft tissue reconstruction of the hand.
To highlight the utility of local and regional flaps in hand surgery.

Main Methods:

Literature review of established and emerging flap techniques for hand reconstruction.
Analysis of flap selection criteria based on defect size and depth.
Discussion of advantages and disadvantages of various flap options.

Main Results:

Local and regional flaps offer viable solutions for complex hand soft tissue defects.
Vascularized tissue coverage is crucial for optimal healing and function.
Flap choice depends on specific clinical scenarios and surgeon expertise.

Conclusions:

Local and regional flaps are essential tools for successful hand soft tissue reconstruction.
These techniques facilitate rapid, functional healing while minimizing complications like wound contraction.
Further research can refine flap selection and surgical outcomes in hand surgery.