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Comparison of Thigh-Based versus Groin-Based versus Lateral-Thoracic-Based Flaps for Hand Resurfacing: A Review
1Queen Mary University London, Mile End Rd, Bethnal Green, London E1 4NS.
Background:
Thigh-based, groin-based and lateral-thoracic-based flaps are available for microsurgical hand resurfacing - which is the best?
Methods:
BestBETS methodology was used to systematically evaluate the advantages and disadvantages. PubMed, EMBASE and Cochrane databases were searched up until Sep 2020, using the search strategy: hand re-surfacing, free-flap, groin-flap, thigh-flap, lateral thoracic-flap, advantages, and disadvantages.
Results:
Overall, 31 papers were identified which were used to synthesize the discussion and conclusions.
Conclusion:
Thigh-based anterolateral thigh (ALT) flaps offer the greatest versatility.

