Skip to main content
SpringerLink
Log in

Extremities

  • Chapter
Dermatologic Surgery

  • 176 Accesses

Abstract

The skin on arms and legs is attached relatively firmly to the underlying fascia with minimal subcutaneous tissue. The skin over the knees and elbows appears relatively mobile, but there is little subcutaneous tissue, and removal of large amounts of skin leads to restriction of motion. Thus flaps are generally not very successful.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

Arms and Legs

  • Hallock GG (1989) Local fasciocutaneous flaps for cutaneous coverage of lower extremity wounds. J Trauma 29: 1240–1244

    Article  PubMed  CAS  Google Scholar 

  • Hallock GG (1992) The random fasciocutaneous flap for upper extremity coverage. J Hand Surg 17: 93–101

    Article  CAS  Google Scholar 

  • Hurwitz DJ (1990) Extending the reach of island cutaneous flaps. Ann Plast Surg 25: 263–270

    Article  PubMed  CAS  Google Scholar 

  • Masquelet AC, Romana MC (1988) Vascularization of the skin of the limbs and surgical applications. Rev Chir Orthop 74: 669–676

    PubMed  CAS  Google Scholar 

  • Motley RJ, Holt PJ (1990) The use of meshed advancement flaps in the treatment of lesions of the lower leg. J Dermatol Surg Oncol 16: 346–348

    PubMed  CAS  Google Scholar 

  • Revol M (1991) Repair of complex wounds of the lower limb. Presse Med 20: 1335–1339

    PubMed  CAS  Google Scholar 

  • Yousif NJ, Ye Z (1991) Analysis of cutaneous perfusion: an aid to lower extremity reconstruction. Clin Plast Surg 18: 559–570

    PubMed  CAS  Google Scholar 

Hands, Feet, and Digits

  • Armijo M (1981) Mucoid cysts of the fingers. Differential diagnosis, ultrastructure, and surgical treatment. J Dermatol Surg Oncol 7: 317–322

    PubMed  CAS  Google Scholar 

  • Bellmann KP, Lehnert W, Winter H (1994) Defektdeckung der Problemzone Fuβsohle. In: Mahrle G, Schultz HJ, Krieg T (eds) Wundheilung — Wundverschluβ. Springer, Berlin Heidelberg New York Tokyo (Fortschritte der operativen und onkologischen Dermatologic, vol 8), pp 117–120

    Google Scholar 

  • Greenway HT Jr, Hockstein ES (1991) Superficial foot and ankle surgery. Adv Dermatol 6: 85–111

    PubMed  Google Scholar 

  • Mack GR (1992) Superficial anatomy and cutaneous surgery of the hand. Adv Dermatol 7: 315–352

    PubMed  CAS  Google Scholar 

  • Olszewsky EM (1989) Dermatochirurgie der Hand. In: Breuninger H, Rassner G (eds) Operationsplanung und Erfolgskontrolle. Springer, Berlin Heidelberg New York Tokyo (Fortschritte der operativen Dermatologic, vol 5), pp 231–235

    Google Scholar 

  • Petres J, Hagedorn M (1974) Möglichkeiten der Dermatochirurgie bei Neoplasien im Handbereich. Fortschr Med 92: 1054–1058

    PubMed  CAS  Google Scholar 

  • Rohrer TE, Leslie B, Grande DJ (1994) Dermatologic surgery of the hand. General principles and avoiding complications. J Dermatol Surg Oncol 20: 19–34

    PubMed  CAS  Google Scholar 

  • Roth JH, Urbaniak JR, Koman LA, Goldner JL (1982) Free flap coverage of deep tissue defects of the foot. Foot Ankle 3: 150–157

    PubMed  CAS  Google Scholar 

  • Tilkorn H, Drepper H, Hundeiker M (1990) Problems in surgery of the sole of the foot. Z Hautkr 65: 550–555

    PubMed  CAS  Google Scholar 

Nails

  • Baran R, Dawber RPR (1984) Diseases of the nails and their management. Blackwell, Oxford

    Google Scholar 

  • Baran R, Haneke E (1987) Surgery of the nail. In: Epstein E, Epstein E Jr (eds) Skin surgery. Saunders, Philadelphia, PP 534–547

    Google Scholar 

  • Ceilley RI, Collison DW (1992) Matricectomy. J Dermatol Surg Oncol 18: 728–734

    PubMed  CAS  Google Scholar 

  • Cohen PR, Scher RK (1994) Topical and surgical treatment of onychomycosis. J Am Acad Dermatol 31: 74–77

    Article  Google Scholar 

  • Ditre CM, Howe NR (1992) Surgical anatomy of the nail unit. J Dermatol Surg Oncol 18: 665–671

    PubMed  CAS  Google Scholar 

  • Goldminz D, Bennett RG (1992) Mohs micrographic surgery of the nail unit. J Dermatol Surg Oncol 18: 721–726

    PubMed  CAS  Google Scholar 

  • Greig JD, Anderson JH, Ireland AJ, Anderson JR (1991) The surgical treatment of ingrowing toenails. J Bone Joint Surg 73: 131–133

    Google Scholar 

  • Ham AC van der, Hackeng CAH, Yo TI (1990) The treatment of ingrowing toenails: A randomised comparison of wedge excision and phenol cauterisation. J Bone Joint Surg 72: 507–509

    Google Scholar 

  • Haneke E (1979) Chirurgische Behandlung des Unguis incarnatus. In: Salfeld K (ed) Operative Dermatologic. Springer, Berlin Heidelberg New York, pp 185–188

    Google Scholar 

  • Haneke E (1984) Segmentale Matrixverschmälerung zur Behandlung des eingewachsenen Zehennagels. Dtsch Med Wochenschr 109: 1451–1453

    Article  PubMed  CAS  Google Scholar 

  • Haneke E (1991) Operationen am Nagelorgan — Planung, Durchführung, Fehlermöglichkeiten und ihre Vermeidung. Z Hautkr 66 [Suppl 3]: 132–133

    Google Scholar 

  • Haneke E (1992) Pathogenese-orientierte Behandlung eingewachsener Zehennägel und des angeborenen Nagelschiefstandes bei Kindern. In: Burg G, Hartmann AA, Konz B (eds) Onkologische Dermatologic. Neue Aspekte. Altersbedingte Besonderheiten. Springer, Berlin Heidelberg New York Tokyo (Fortschritte der operativen und onkologischen Dermatologic, vol 7), pp 243–245

    Google Scholar 

  • Haneke E, Baran R, Bureau H (1981) Chirurgie der Nagelregion. Z Hautkr 57: 1107–1112

    Google Scholar 

  • Kirchhoff A, Petres J (1990) Operative Eingriffe am Nagelorgan. Z Hautkr 65: 890–895

    PubMed  CAS  Google Scholar 

  • Miller PK, Roenigk RK (1991) Diagnostic and therapeutic nail surgery. J Dermatol Surg Oncol 17: 674–680

    PubMed  CAS  Google Scholar 

  • Rich P (1992) Nail biopsy. Indications and methods. J Dermatol Surg Oncol 18: 673–682

    PubMed  CAS  Google Scholar 

  • Salasche SJ, Orengo IF (1992) Tumors of the nail unit. J Dermatol Surg Oncol 18: 691–700

    PubMed  CAS  Google Scholar 

  • Sau P, McMarlin SL, Sperling LC, Katz R (1994) Bowen’s disease of the nail bed and periungual area. A clinicopathologic analysis of seven cases. Arch Dermatol 130: 204–209

    Article  PubMed  CAS  Google Scholar 

  • Scher RK, Daniel OR (1990) Nails: Therapy, diagnosis, surgery. Saunders, Philadelphia.

    Google Scholar 

  • Siegle RJ, Stewart R (1992) Recalcitrant ingrowing nails. Surgical approaches. J Dermatol Surg Oncol 18: 744–752

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Hautklinik der Städtischen Kliniken, Kassel, Mönchebergstraße 41–43, D-34125, Kassel, Germany

    Prof. Dr. med. Johannes Petres

  2. Hautklinik der Städtischen Kliniken, Kassel, Mönchebergstraße 41–43, D-34125, Kassel, Germany

    Dr. med. Rainer Rompel

  3. Dept. Mohs Micrographic Surgery, University Hospital New York, 530 First Avenue, NY 10016, New York, USA

    Dr. Perry Robins

Authors
  1. Prof. Dr. med. Johannes Petres
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dr. med. Rainer Rompel
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Dr. Perry Robins
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 1996 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Petres, J., Rompel, R., Robins, P. (1996). Extremities. In: Dermatologic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60992-3_21

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-60992-3_21

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64646-1

  • Online ISBN: 978-3-642-60992-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation