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Reconstructive options for cutaneous dorsal hand defects.

Brett C Neill1, Erin Roberts2, Stanislav N Tolkachjov2

  • 1Division of Dermatology, University of Kansas Medical Center, Kansas City, KS, USA.

International Journal of Dermatology
|April 7, 2021
PubMed
Summary
This summary is machine-generated.

Reconstructive surgery for moderate to large dorsal hand defects can be challenging. The O-Z rotation flap, single arm rotation flap, and Burow

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Area of Science:

  • Plastic Surgery
  • Hand Surgery
  • Reconstructive Surgery

Background:

  • Moderate to large dorsal hand defects present significant reconstructive challenges.
  • These challenges stem from the limited surface area, immobility of adjacent finger tissues, and the delicate nature of dorsal hand skin.

Purpose of the Study:

  • To outline and discuss reconstructive options for moderate to large dorsal hand defects.
  • To present three specific surgical approaches for dorsal hand defect reconstruction.

Main Methods:

  • A review of existing dorsal hand reconstructive techniques.
  • Presentation of three distinct surgical methods tailored to defect size and location on the hand.
  • Exclusion of digital defects from the presented reconstructive strategies.

Main Results:

  • The single arm rotation flap is recommended for larger defects on the mid-distal metacarpals (1st-3rd).
  • Burow's graft is suitable for medium-sized defects with adequate underlying soft tissue.
  • The O-Z flap is indicated for medium to large defects on the proximal metacarpal region.

Conclusions:

  • The O-Z rotation flap, single arm rotation flap, and Burow's graft are effective reconstructive options.
  • These techniques can address the majority of moderate to large dorsal hand defects, excluding those on the digits.