Related Experiment Video
Updated: Oct 3, 2026

08:18
Engineered Vascularized Muscle Flap
Published on: January 11, 2016
[Defect coverage of the hand using a rare Siamese combined flap]
Itai Pasternak1, Urs Hug1, Eva Meia Rüegg2
1Hand- und Plastische Chirurgie, Luzerner Kantonsspital, Luzern, Schweiz.
Abstract:
We report 2 cases of extensive soft tissue defects simultaneously affecting the palm and dorsum of the hand. The defect was covered with a Siamese flap combination consisting of a free, distally extended lateral upper arm flap with microvascular anastomosis, and a posterior interosseous artery flap. We discuss possible indications, the operative technique and advantages versus disadvantages of this rarely applied flap combination.

