Secondary Options in Failed Tissue Transfers About the Hand
Soft-tissue transfers after previous failed soft-tissue coverage can be quite challenging. This is especially true if the preferred donor graft or flap was utilized, but was unsuccessful. In general, the dorsum of the hand can be covered by split thickness skin grafts, and the volar aspect of the hand covered with full thickness skin grafts, given the different thickness of skin in these locations. However, if there are exposed tendons, nerves, or vessels, these will require more complex options in order to provide soft-tissue coverage. This chapter outlines some of the creative fallback options when primary treatment has failed. The patient should be counseled that these procedures may require multiple stages and may require further surgery (such as tenolysis and contracture release) later in order to increase function once the viability of the coverage is proven.
KeywordsFailed Tissue Transfer Hand Secondary Options
- 24.Katsaros J, Tan E, Zoltie N, Barton M, Dr. Venugopalsrinivasan, Venkataramakrishnan. Further experience with the lateral arm free flap. Plast Reconstr Surg. 1991;87(5):902–10.Google Scholar