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Alternative Flap Options for Upper Extremity Reconstruction.

Yanis Berkane1, Riccardo Giorgino2, Zhi Yang Ng3

  • 1Department of Plastic, Reconstructive and Aesthetic Surgery, CHU Rennes, Rennes University, 16 Boulevard de Bulgarie, 35000 Rennes, France; Vascularized Composite Allotransplantation Laboratory, Massachusetts General Hospital, Harvard Medical School, 50 Blossom Street, Boston, MA 02114, USA; UMR U1236-MICMAC, Immunology and Cell Therapy Lab, Rennes University Hospital, 2 Rue Henri Le Guillou, 35000 Rennes, France.

Hand Clinics
|March 29, 2024
PubMed
Summary
This summary is machine-generated.

Established pedicled and free flaps offer effective solutions for major upper limb defects, achieving good functional and aesthetic outcomes. This study explores alternative flap options with case examples.

Keywords:
DIEP flapFlap reconstructionMicrosurgical reconstructionSCIP flapUpper extremity

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Area of Science:

  • Reconstructive surgery
  • Microsurgery
  • Orthopedic surgery

Background:

  • Major upper limb defects present significant reconstructive challenges.
  • Numerous pedicled and free flap techniques are established for limb reconstruction.

Purpose of the Study:

  • To introduce and discuss alternative pedicled and free flap options for major upper limb defects.
  • To illustrate the application and outcomes of these alternative flaps through case examples.

Main Methods:

  • Review of established pedicled and free flap options (latissimus dorsi/thoracodorsal artery perforator, lateral arm, posterior interosseous artery, rectus abdominis, gracilis, anterolateral thigh).
  • Presentation and discussion of alternative flap techniques via illustrative case studies.

Main Results:

  • Established flaps demonstrate favorable success rates for functional and aesthetic restoration.
  • Alternative flap options provide viable solutions for complex upper limb reconstructions.

Conclusions:

  • Technical proficiency is key to successful outcomes in upper limb flap surgery.
  • A diverse range of pedicled and free flaps, including alternative options, can effectively address major upper limb defects.