Interdisciplinary reconstructions of the forearm and hand

Area of Science:

• Plastic Surgery
• Orthopedic Surgery
• Microsurgery

Background:

• Complex forearm and hand defects require sophisticated reconstructive approaches.
• Interdisciplinary collaboration is essential for managing these challenging cases.

Purpose of the Study:

• To examine clinical applications of interdisciplinary reconstructive strategies for complex forearm and hand defects.
• To clarify how collaborative planning and technique adaptation influence upper extremity salvage outcomes.

Main Methods:

• Retrospective review of 79 patients undergoing upper extremity reconstruction (2020-2024).
• Inclusion of composite defects of hand or forearm treated with local, regional, or free flaps.
• Descriptive analysis of demographics, etiology, defect location, reconstructive technique, collaboration, and complications.

Main Results:

• Trauma was the primary cause (68%) of defects, often affecting long fingers and thumbs.
• Free flaps were used for large/composite defects; local/regional flaps for smaller soft tissue defects.
• Overall complication rate was 12.6%, with no flap failures or limb loss.

Conclusions:

• Individualized, anatomy-driven planning and interdisciplinary cooperation enhance upper limb reconstruction.
• Plastic surgeons are crucial in adapting techniques for favorable functional and aesthetic results.