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Soft tissue coverage for the upper extremity

D Watumull1, H H Orenstein

  • 1University of Texas Southwestern Medical Center, Division of Plastic Surgery, Dallas 75235-9031.

Orthopedics
|April 1, 1993
PubMed
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This study reviews upper extremity soft tissue coverage methods, highlighting techniques for fingertip, hand, and wrist defects. It discusses flap advantages and disadvantages for optimal reconstruction.

Area of Science:

  • Orthopedics
  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Soft tissue coverage of the upper extremity presents ongoing challenges.
  • Current methods for reconstruction require careful consideration of defect location and size.

Purpose of the Study:

  • To review current methods for soft tissue coverage of the upper extremity.
  • To discuss the advantages and disadvantages of various reconstructive techniques.

Main Methods:

  • Review of established and emerging techniques for upper extremity soft tissue coverage.
  • Analysis of flap selection based on defect characteristics (fingertip, hand, wrist).

Main Results:

  • Fingertip injuries often managed with open treatment or local hand flaps.

Related Experiment Videos

  • Distal axial flaps (groin flap, microvascular transfer) are common for hand defects.
  • Trunk flaps, microvascular transfer, and radial forearm flaps are useful for proximal wrist defects.

    • Conclusions:

    • The choice of soft tissue coverage technique depends on the specific upper extremity defect.
    • Understanding flap limitations and technical nuances is crucial for successful reconstruction.