Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Burn Injuries01:22

Burn Injuries

5.1K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
5.1K
Bones of the Upper Limb: Humerus01:19

Bones of the Upper Limb: Humerus

14.7K
The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
14.7K
Arteries of the Upper Limbs01:12

Arteries of the Upper Limbs

3.2K
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
3.2K
Fractures: Bone Repair01:27

Fractures: Bone Repair

6.9K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
6.9K

You might also read

Related Articles

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

Sort by
Same author

Ultrasound-Assisted Thin Posteromedial Thigh Free Flap for Coverage of Hand and Upper-Extremity Wounds.

The Journal of hand surgery·2026
Same author

Strategies for Work-up and Treatment of Case Scenarios in Neurogenic Thoracic Outlet Syndrome.

The Journal of hand surgery·2026
Same author

Comparative outcomes of single versus multiple trigger finger releases: a propensity score matched cohort study.

The Journal of hand surgery, European volume·2026
Same author

Proximal Row Carpectomy: Open Versus Arthroscopy.

Hand clinics·2026
Same author

Nerve and Tendon Transfers for Upper Extremity Reconstruction in Spinal Cord Injury Patients: A Systematic Review.

The journal of hand surgery Asian-Pacific volume·2026
Same author

Preoperative Tranexamic Acid Use in Free Flap Breast Reconstruction: A Propensity-Matched Analysis of Postoperative Outcomes.

Microsurgery·2026
Same journal

The Free-Style Flaps: A Personal Journey in Clinical Practice, Surgical Pearls and Common Pitfalls.

Seminars in plastic surgery·2026
Same journal

The Role of Microsurgical Free Flap in Complex Nose Defect Reconstruction.

Seminars in plastic surgery·2026
Same journal

International Microsurgery Club for 10 Years-A New Online Education Platform and Beyond.

Seminars in plastic surgery·2026
Same journal

Isolated Lower Extremity Specimens Enhance Efficiency and Cost-Effectiveness in Cadaveric Flap Dissection Training for Clinical Practice-Chang Gung Experience.

Seminars in plastic surgery·2026
Same journal

Neuroplastic and Augmented Reality Integration in Moyamoya Revascularization: A Reconstructive Microsurgical Paradigm.

Seminars in plastic surgery·2026
Same journal

Chang Gung Experience (Part 4): Organization of a Microsurgical Center for Service Education and Research and Miscellaneous Microsurgical Reconstruction.

Seminars in plastic surgery·2026
See all related articles

Related Experiment Video

Updated: Apr 17, 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

1.0K

Soft tissue coverage of the mangled upper extremity.

Zhi Yang Ng1, Christopher J Salgado2, Steven L Moran3

  • 1Department of Orthopaedic Surgery, Alexandra Hospital, Singapore.

Seminars in Plastic Surgery
|February 17, 2015
PubMed
Summary
This summary is machine-generated.

Reconstructing mangled upper extremities involves advanced soft tissue coverage techniques. This study explores flap utilization, allogenic substitutes, and negative pressure wound therapy for limb salvage and functional restoration.

Keywords:
handinjurysoft tissue flapupper extremity

More Related Videos

Heterotopic Hindlimb-to-Neck Transplantation in the Mouse: A Supermicrosurgical Model of Vascularized Composite Allotransplantation
06:37

Heterotopic Hindlimb-to-Neck Transplantation in the Mouse: A Supermicrosurgical Model of Vascularized Composite Allotransplantation

Published on: April 10, 2026

32
Vascularized Composite Upper Limb Allograft Harvesting for Proximal Arm Allotransplantation
08:11

Vascularized Composite Upper Limb Allograft Harvesting for Proximal Arm Allotransplantation

Published on: June 13, 2025

745

Related Experiment Videos

Last Updated: Apr 17, 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

1.0K
Heterotopic Hindlimb-to-Neck Transplantation in the Mouse: A Supermicrosurgical Model of Vascularized Composite Allotransplantation
06:37

Heterotopic Hindlimb-to-Neck Transplantation in the Mouse: A Supermicrosurgical Model of Vascularized Composite Allotransplantation

Published on: April 10, 2026

32
Vascularized Composite Upper Limb Allograft Harvesting for Proximal Arm Allotransplantation
08:11

Vascularized Composite Upper Limb Allograft Harvesting for Proximal Arm Allotransplantation

Published on: June 13, 2025

745

Area of Science:

  • Orthopedic Surgery
  • Reconstructive Surgery
  • Trauma Surgery

Background:

  • Mangled upper extremity injuries result from high-impact trauma, causing extensive soft tissue damage.
  • Limb salvage reconstruction offers improved function over amputation but remains challenging.
  • Effective soft tissue coverage is crucial for wound healing and functional restoration.

Purpose of the Study:

  • To review modalities for soft tissue coverage in mangled upper extremity injuries.
  • To discuss the application of flap techniques, allogenic substitutes, and negative pressure wound therapy.
  • To highlight strategies for achieving wound healing, aesthetic, and functional outcomes.

Main Methods:

  • Review of current literature on soft tissue reconstruction techniques for upper extremity trauma.
  • Discussion of flap design and utilization for various defect types.
  • Evaluation of adjunctive therapies like negative pressure wound therapy and allogenic substitutes.

Main Results:

  • Advancements in flap techniques and bone fixation have improved limb salvage outcomes.
  • Various soft tissue coverage options exist, including local, regional, and free flaps.
  • Negative pressure wound therapy and allogenic substitutes can aid in wound bed preparation and defect management.

Conclusions:

  • Exhaustive limb preservation efforts are recommended before considering amputation.
  • A combination of surgical techniques and adjunctive therapies optimizes outcomes.
  • Successful reconstruction requires careful planning to address wound healing, aesthetics, and function.