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Free tissue transfers to the upper limb

I T Foo¹, C M Malata, S P Kay

¹St James's University Hospital, Leeds, UK.

Journal of Hand Surgery (Edinburgh, Scotland)

|June 1, 1993

Summary

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This study shows that free tissue transfers for upper limb reconstruction are highly successful, with a 99% success rate and no failures in pediatric patients. These reconstructive microsurgery techniques offer excellent outcomes for congenital and traumatic defects.

Area of Science:

Orthopedics
Microsurgery
Reconstructive Surgery

Background:

Free tissue transfer is a critical reconstructive technique for upper limb defects.
Congenital and traumatic injuries are common indications for limb reconstruction.

Purpose of the Study:

To evaluate the outcomes of free tissue transfers for upper limb reconstruction.
To assess the success rates and complications in a consecutive series of patients.

Main Methods:

A review of 90 consecutive free tissue transfers performed by a single surgeon over three years.
Analysis of patient demographics, indications, flap types, and outcomes.

Main Results:

A 99% overall success rate was achieved in 75 patients (33 children, 42 adults).

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Common indications included congenital and traumatic defects, with toe and lateral arm flaps being most frequent.

The re-exploration rate was 5.6%, with only one failure; no failures occurred in pediatric cases.

Conclusions:

Free tissue transfers are a safe and highly effective method for upper limb reconstruction.
The technique demonstrates excellent results, particularly in pediatric populations, for addressing complex limb deformities.