Full-thickness free flap thumb

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All flaps were raised from the non-dominant arm. The non-donor side acted as a control for all patients. Objective measurements were as follows: grip, tip pinch and key pinch strength measured with dynamometers; flexion, extension, radial and ulnar deviation and pronation and supination range of motion at the wrist measured with goniometry; A timed manual dexterity task was performed with a grooved pegboard test, and sensation of the radial nerve was tested with Semmes Weinstein monofilaments.

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Back to Plastic surgery. Plastic surgery can involve a number of different techniques to move and manipulate body tissue. They'll explain in detail what will happen before, during and after surgery.

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Click on image for details. Background: Fingertip injury requiring flap cover is very common in the modern era. The ideal cover should fulfill both functional and aesthetic improvement.

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Options for reconstruction depend on the defect size as well as type of tissue missing but include skin grafts, local, regional and distant flaps as well as free flaps. In this series we set out to show the versatility of the dorsal metacarpal flaps through our experience with the various forms of these flaps for soft tissue coverage of the hand after primary excision of hand burns. This case series involves a review of 4 consecutive patients who underwent reconstruction of hand wounds with any variation of dorsal metacarpal artery flaps from December to August There were 3 males and 1 female whose age ranged from 33 to

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A novel technique to reduce donor site morbidity after radial forearm free flap RFFF harvest, using a local full-thickness skin graft FTSGis described. Thirty consecutive patients undergoing RFFF for head and neck reconstruction were enrolled in a prospective study. Donor site defect closure was performed with spindle-shaped FTSGs excised from the wavelike skin incision made for the vascular pedicle.

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Soft tissue deficiency in the upper limb is a common presentation following trauma, burns infection and tumour removal. Soft tissue coverage of the upper limb is a challenging problem for reconstructive surgeons to manage. The ultimate choice of soft tissue coverage will depend on the size and site of the wound, complexity of the injury, status of surrounding tissue, exposure of the vital structures and health status of the patient.

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A local flap consists of skin and subcutaneous tissue that is harvested from a site nearby a given defect while maintaining its intrinsic blood supply. When a soft tissue defect of the hand is not amenable to primary closure or skin grafting, local skin flaps can be a used as a reliable source of soft tissue replacement that replaces like with like. Flaps are categorized based on their composition, method of transfer, flap design and blood supply, yet flap circulation is considered the most critical factor for the flap survival.

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Strategies in Trauma and Limb Reconstruction. Extensive pulp zone 4 defects of the thumb, with the exposure of tendon or bone, are challenging reconstructive problems. Surgical treatment includes the use of local, regional, and free flaps. The first dorsal metacarpal artery flap has been used successfully for defects of the thumb.

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All flaps survived completely, and the follow-up duration was AVFs were employed to reconstruct skin defects and extensor tendon defects using a vascularized palmaris longus graft in 4 fingers. Digital blood supply was reestablished in 4 fingers by flow-through technique when using AVFs.

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