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Updated: Aug 1, 2026

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A Murine Model of a Burn Wound Reconstructed with an Allogeneic Skin Graft
Published on: August 8, 2020
Microsurgical Reconstruction of the Burned Hand and Upper Extremity
Mauricio De la Garza1, Michael Sauerbier2, Germann Günter3
1The Institute for Plastic Surgery, Southern Illinois University, 747 North Rutledge Street, Springfield, IL 62702- 6700, USA.
Hand Clinics
|April 2, 2017
Summary
Advanced critical care improves survival for burn victims. Microvascular free tissue transfer offers a safe and effective solution for complex hand burn reconstruction when local tissues are compromised.
Area of Science:
- Reconstructive surgery
- Burn care
- Microsurgery
Background:
- Improved critical care and resuscitation have increased survival rates for burn patients.
- Burn wound management involves resuscitation, excision, sepsis prevention, and coverage.
- Hand burn reconstruction presents unique challenges due to the complexity of underlying structures.
Purpose of the Study:
- To highlight the challenges in reconstructing severe hand burns.
- To discuss the limitations of local and regional flaps in burn zones.
- To present microvascular free tissue transfer as a viable reconstructive option for hand burns.
Main Methods:
- Review of current burn care principles.
- Analysis of reconstructive techniques for hand burns.
- Emphasis on the application and safety of microvascular free tissue transfer.
Main Results:
- Local or regional flaps may be compromised within the burn zone of injury.
- Microvascular free tissue transfer provides healthy, vascularized tissue for reconstruction.
- This technique is considered safe and effective for complex hand burn coverage.
Conclusions:
- Complex hand burn reconstruction requires vascularized tissue coverage.
- Microvascular free tissue transfer is a crucial technique for restoring function and viability in severe hand burns.
- Refined techniques ensure the safety and efficacy of free tissue transfer in burn patients.

