Subacute reconstruction using flap transfer for complex defects of the upper extremity.

Area of Science:

• Microsurgery
• Orthopedic Surgery
• Reconstructive Surgery

Background:

• Complex upper extremity trauma presents significant reconstructive challenges despite advances in microsurgical flap transfer techniques.
• This study evaluates the efficacy of flap reconstruction in the subacute management of severe upper extremity injuries.

Observation:

• Thirty-five patients with diverse traumatic upper extremity injuries underwent flap reconstruction between 2013 and 2016.
• Common flap types included anterolateral thigh, latissimus dorsi, and lateral arm flaps, with reconstruction performed at a mean of 14 days post-injury.

Findings:

• The study reported a high overall flap survival rate of 94.3%, with minor complications including partial necrosis and wound infections.
• Functional and aesthetic outcomes were satisfactory, characterized by soft flap textures, varying degrees of sensory recovery, and minimal donor site morbidity.

Implications:

• Subacute flap reconstruction is a successful strategy for addressing severe upper limb soft tissue defects, yielding favorable functional and aesthetic results.
• This approach demonstrates low complication and amputation rates, offering a valuable reconstructive option for complex traumatic injuries.