Regional Indications

  • Leonard Gordon


The potential benefits of microvascular tissue transplantation are outlined in Sec. 2.1. Free tissue transplantation enables immediate elevation of the injured part, early mobilization in hand cases, and reconstruction in a single operation. As important as all of these factors is the advantage of being able to choose from a variety of different tissues. This allows the surgeon to tailor the surgical solution to the specific nature, site, and size of the clinical problem. A tissue that satisfies a number of requirements can be chosen. The various attributes to be found among the different tissues include variable size, vascularity, the ability to contour to the wound’s dead space, sensation, limited mobility of the flap on the deeper tissues, and the ability to be combined with bone to form a composite transplant for the treatment of combined soft-tissue and bone defects. Once the decision to perform a microvascular transplant has been made, the choice of tissue must be carefully considered.


Latissimus Dorsi Muscle Flap Radial Forearm Flap Serratus Anterior Muscle Cutaneous Flap 
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Selected Bibliography

  1. Zhong-jia Y (1987) Combined transplantation of soft tissues. Plast Reconstr Surg 79:222CrossRefGoogle Scholar

Copyright information

© Springer-Verlag New York Inc. 1988

Authors and Affiliations

  • Leonard Gordon
    • 1
    • 2
    • 3
    • 4
    • 5
  1. 1.Department of AnatomyUniversity of CaliforniaSan FranciscoUSA
  2. 2.Hand and Microsurgery Service, Department of Orthopaedic SurgeryUniversity of CaliforniaSan FranciscoUSA
  3. 3.Mt. Zion Hospital Medical CenterUSA
  4. 4.Oak Knoll Naval BaseUSA
  5. 5.Letterman Army Medical CenterUSA

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