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Related Experiment Videos

Free tissue transfers to the upper extremity.

C L Kerrigan, R K Daniel

    The Orthopedic Clinics of North America
    |July 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

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    Plastic and reconstructive surgery·2001

    Microsurgery enhances upper extremity reconstruction using free tissue transfers. Selecting appropriate tissues, like sensate skin for the palm, is crucial for restoring hand function and aesthetics.

    Area of Science:

    • Microsurgery
    • Plastic Surgery
    • Hand Surgery

    Background:

    • Free tissue transfer techniques have advanced upper extremity reconstruction.
    • Microsurgery allows for greater finesse in restoring function and aesthetics.

    Observation:

    • Effective microsurgery in hand reconstruction requires recognizing ideal tissue types: thin, pliable skin dorsally and sensate glabrous skin volarly.
    • Complex deformities necessitate consideration of all missing components and realistic patient goals.

    Findings:

    • A reconstructive plan integrates hand function knowledge with donor site expertise.
    • Staged reconstruction may be required for complex cases.

    Implications:

    • Advances in immunology may enable 'spare part surgery' in the future.

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  • Optimizing tissue selection is key to successful microsurgical reconstruction of the hand.