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[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.
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|September 6, 2017
Summary
This study presents a novel Siamese flap technique combining upper arm and posterior interosseous artery flaps to reconstruct extensive hand soft tissue defects. This combined approach offers a viable solution for complex palm and dorsal hand injuries.
Area of Science:
- Plastic Surgery
- Microsurgery
- Hand Surgery
Background:
- Extensive soft tissue defects of the hand pose significant reconstruction challenges.
- Simultaneous defects affecting both the palm and dorsum are particularly complex to manage.
Purpose of the Study:
- To describe a novel surgical technique for reconstructing extensive soft tissue defects of the hand.
- To evaluate the efficacy of a combined Siamese flap approach.
Main Methods:
- Report of 2 cases with simultaneous palm and dorsal hand soft tissue defects.
- Reconstruction using a Siamese flap combination: a free, distally extended lateral upper arm flap with microvascular anastomosis and a posterior interosseous artery flap.
Main Results:
- Successful coverage of extensive soft tissue defects on both the palm and dorsum of the hand in both reported cases.
- The combined flap provided adequate tissue for defect coverage and functional restoration.
Conclusions:
- The Siamese flap combination is a rarely applied but effective technique for managing extensive, simultaneous palm and dorsal hand defects.
- This approach offers potential advantages for complex hand reconstructions, warranting further investigation into its indications and outcomes.