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General Principles of Skin Cover and Flaps to the Elbow, Forearm, Wrist and Hand

  • Stewart WatsonEmail author
Chapter

Abstract

A surgeon must choose the reconstruction most appropriate to the patient in front of them, their life style and functional needs and also not forget the cosmetic consequences of their choice of reconstruction so important to many patients. Today there are a wide range of reconstructive options for most defects whether skin only or composite tissue defects.

Keywords

Soft tissue reconstruction Hand General principles Individualized Wounds Trauma Compartment syndrome 

References

  1. 1.
    Mowatt DJ, Shah M, Watson JS. Palmar resurfacing techniques: an “ideal” opportunity and the importance of long-term follow-up. J Hand Surg Br Eur. 2002;27B(2):198–201.CrossRefGoogle Scholar
  2. 2.
    Lohman RF, Nawabi AS, Reece GP, Pollock RE, Evans GR. Soft tissue sarcoma of the upper extremity: a five year experience at two institutions emphasizing the role of soft tissue flap reconstruction. Cancer. 2002;94:2256–64.PubMedCrossRefGoogle Scholar
  3. 3.
    The management of open fractures. British orthopaedic Association and British Association of plastic surgeons. Published by the British orthopaedic Association; 1997.Google Scholar
  4. 4.
    Nanchalal J, Nayagam S, Khan U, Moran C, Barrett S, Sanderson F, Pallister I. Standards for the management of open fractures of the lower limb. London: The Royal Society of Medicine Press; 2009.Google Scholar
  5. 5.
    Argenta LC, Morykwas MJ. Vacuum-assisted closure: a new method for wound control and treatment: clinical experience. Ann Plast Surg. 1997;38:563–76; discussion 577.PubMedCrossRefGoogle Scholar
  6. 6.
    Glass GE, Nanchalal J. The methodology of negative pressure wound therapy: separating fact from fiction. J Plast Reconstr Aesthet Surg. 2012;65:989–1001.PubMedCrossRefGoogle Scholar
  7. 7.
    Greer SE, Longaker MT, Margiotta M, et al. The use of subatmospheric dressings for the coverage of radial forearm free flap donor-site exposed tendon complications. Ann Plast Surg. 1999;43:551554.CrossRefGoogle Scholar
  8. 8.
    Tintle SM, Wilson K, Mckay PL, Andersen RC, Kumar AR. Simultaneous pedicled flaps for coverage of complex blast injuries to the forearm and hand (with supplemental external fixation to the iliac crest for immobilization). J Hand Surg Eur Vol. 2010;35E(1):9–15.CrossRefGoogle Scholar
  9. 9.
    Weigert R, Choughri H, Casoli V. Management of severe hand wounds with integra dermal regeneration template. J Hand Surg Eur Vol. 2011;36E(3):185–93.CrossRefGoogle Scholar
  10. 10.
    Taylor I. Chapter 15. In: Mathes plastic surgery, vol 1. 2nd ed. Saunders Elsevier; 2006.Google Scholar
  11. 11.
    Taylor GI, Palmer JH. The vascular territories (angiosomes) of the body: experimental study and clinical applications. Br J Plast Surg. 1987;40:113–41.PubMedCrossRefGoogle Scholar
  12. 12.
    Cormack GC, Lamberty BG. A classification of fasciocutaneous flaps according to their patterns of vascularity. Br J Plast Surg. 1984;37:80.PubMedCrossRefGoogle Scholar
  13. 13.
    Dabernig J, Sorensen K, Shaw-Dunn J, Hart AM. The Thin circumflex scapular artery perforator flap. J Plast Reconstr Aesthet Surg. 2007;60:1082–96.PubMedCrossRefGoogle Scholar
  14. 14.
    Kim DY, Kim KS. Hand resurfacing with the superthin latissimus dorsi perforator based free flap. Plast Reconstr Surg. 2003;111:366–70.PubMedCrossRefGoogle Scholar
  15. 15.
    Strauch B, Vasconez LO, Hall-Findlay EJ, Lee BT. Grabb’s encyclopedia of flaps. 3rd ed. Philadelphia: Wolters Kluwer Lippincott Williams Wilkins; 2009.Google Scholar
  16. 16.
    Pauchot J, Chambert J, Remache D, Elkhyat A, Jacquet E. Geometrical analysis of the V-Y advancement flap applied to a keystone flap. J Plast Reconstr Aesthet Surg. 2012;65:1087–95.PubMedCrossRefGoogle Scholar
  17. 17.
    Rayan GM, Chung KC. Flap reconstruction of the upper extremity. ASSH; 2009.Google Scholar
  18. 18.
    Ponten B. The fasciocutaneous flap: its use in soft tissue defects of the lower leg. Br J Plast Surg. 1981;34:215.PubMedCrossRefGoogle Scholar
  19. 19.
    Amarante J, Costa H, Rees J, Soares R. A new distally based fasciocutaneous flap of the leg. Br J Plast Surg. 1986;39:338–40.PubMedCrossRefGoogle Scholar
  20. 20.
    Yang GF, Chen PJ, Gao YY, Jiang SX, He SP. Forearm free skin flap transplantation. Clin Med J. 1981;61: 139–41.Google Scholar
  21. 21.
    Angrigiani C, Grilli D, Dominikow D, Zancolli EA. Posterior interosseous reverse forearm flap: experience with 80 consecutive cases. Plast Reconstr Surg. 1993;92:265–93.CrossRefGoogle Scholar
  22. 22.
    Brunelli F, Giele H, Perrotta R. Reverse Posterior Interosseous Flap based on an Exteriorized Pedicle to cover Digital Skin Defects. J Hand Surg [Br]. 2000; 25(3):296–299.Google Scholar
  23. 23.
    Ono S, Sebastin SJ, Yazaki N, Hyakusoku H, Chung K. Clinical applications of perforator-based propeller flaps in upper limb soft tissue reconstruction. J Hand Surg. 2011;36A:853–63.CrossRefGoogle Scholar
  24. 24.
    Becker C, Gilbert A. The distally bases ulnar island artery flap in hand reconstruction. Eur J Plast Surg. 1988;11:79–82.CrossRefGoogle Scholar
  25. 25.
    Maruyama Y, Onishi MD, Iwahira Y. The ulnar recurrent fasciocutaneous island flap: reserve medial arm flap. Plast Reconstr Surg. 1987;79(3):381–8.PubMedCrossRefGoogle Scholar
  26. 26.
    Davalbhakta AV, Niranjan NS. Fasciocutaneous flaps based on fascial feeding vessels for defects in the periolecranon area. Br J Plast Surg. 1999;52(1):60–3.PubMedCrossRefGoogle Scholar
  27. 27.
    Mcgregor IA, Jackson IT. The groin flap. Br J Plast Surg. 1972;25(1):3–16.PubMedCrossRefGoogle Scholar
  28. 28.
    Song YG, Chen GZ, Song YL. The free thigh flap: a new concept based on the septocutaneous artery. Br J Plast Surg. 1984;37:149–59.PubMedCrossRefGoogle Scholar
  29. 29.
    Kimura N, Satoh K, Hasumi T, et al. Clinical applications of the free thin anteriolateral thigh flap in 31 consecutive patients. Plast Reconstr Surg. 2001;108:1197–208.PubMedCrossRefGoogle Scholar
  30. 30.
    Izadi D, Paget JTEH, Haj-Basheer M, Khan UM. Fasciocutaneous flaps of the subscapular artery axis to reconstruct large extremity defects. J Plast Reconstr Aesthet Surg. 2012;65:1357–62.PubMedCrossRefGoogle Scholar
  31. 31.
    Kay S, Pinder R, Wiper J, Hart A. Microvascular free functioning gracilis transfer with nerve transfer to establish elbow flexion. J Plast Reconstr Aesthet Surg. 2010;63(7):1142–9.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London 2015

Authors and Affiliations

  1. 1.Plastic Surgery UnitWythenshaw Hospital UnitManchesterUK

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