Reconstructive options for cutaneous dorsal hand defects

2021 ◽  
Author(s):  
Brett C. Neill ◽  
Erin Roberts ◽  
Stanislav N. Tolkachjov
Keyword(s):  
Dorsal Hand ◽  
Hand Defects

scholarly journals The use of dorsoradial forearm flap for the treatment of dorsal hand defect

2020 ◽  
Vol 2020 (7) ◽  
Author(s):  
Perçin Karakol ◽  
Melihcan Sezgiç ◽  
Burak Ergün Tatar ◽  
Caner Gelbal ◽  
Can Uslu
Keyword(s):  
Bone Fractures ◽  
Metacarpal Bone ◽  
Forearm Flap ◽  
Dorsal Hand ◽  
Vital Functions ◽  
Flap Viability ◽  
Hand Defects ◽  
Pedicle Length ◽  
Joint Range ◽  
Hand Defect

Abstract Generally dorsal hand defects are often closed with a flap. Dorsoradial forearm artery flap has generally been used in thumb defects; however, it can also be used in the reconstruction of dorsal hand defects thanks to its wide rotation arc and appropriate pedicle length. In this case report, we presented the outcome of a case where the dorsoradial forearm flap was applied to treat the dorsal hand defect. A 27-year-old patient was admitted to emergency room with trauma on hand. Fixation of metacarpal bone fractures was performed. The dorsoradial forearm flap was elevated and inserted in order to close an opening exposing bones and tendons in the dorsum of hand. There was no complication with flap viability in the postoperative period. Patient’s joint range of motion and vital functions were acceptable. Dorsoradial forearm flap, which is generally used in thumb reconstruction, can also be used in dorsal hand defects.

A Comparison of Immediate and Staged Reconstruction of the Dorsum of the Hand

1996 ◽  
Vol 21 (2) ◽  
pp. 216-221 ◽  
Author(s):  
M. SUNDINE ◽  
L. R. SCHEKER
Keyword(s):  
Difficult Problem ◽  
Range Of Movement ◽  
Immediate Reconstruction ◽  
Traditional Treatment ◽  
Dorsal Hand ◽  
Hand Defects ◽  
Subcutaneous Tissues ◽  
Returning To Work ◽  
Primary Bone ◽  
Staged Reconstruction

The treatment of complex dorsal hand lesions involving skin and subcutaneous tissues, extensor tendons, and bone remains a difficult problem for reconstructive surgeons. Traditional treatment of these defects uses staged reconstruction, first obtaining soft tissue cover and then performing bone and tendon grafts. The purpose of this study was to compare a series of seven patients who underwent staged reconstruction with seven patients who had immediate reconstruction involving primary bone and tendon grafting. All procedures were performed to correct similar severe dorsal hand defects. Patients with immediate reconstruction had a significantly faster return to maximum range of movement (ROM) (214 days compared to 630 days, P = 0.002), significantly fewer operations (2.1 compared to 5.9, P = 0.002) and a greater chance of returning to work (86% compared to 48.2%, P = 0.3) than patients with staged reconstruction.

Primary Extensor Tendon Reconstruction in Dorsal Hand Defects Requiring Free Flaps

1993 ◽  
Vol 18 (5) ◽  
pp. 568-575 ◽  
Author(s):  
L. R. SCHEKER ◽  
S. J. LANGLEY ◽  
D. L. MARTIN ◽  
K. N. JULLIARD
Keyword(s):  
Free Flap ◽  
Extensor Tendon ◽  
Free Flaps ◽  
Tendon Injuries ◽  
Dorsal Hand ◽  
Hand Defects ◽  
Primary Bone ◽  
Tendon Grafts ◽  
Emergency Free Flap ◽  
Extensor Tendon Injuries

This study reports results in nine patients with extensive loss of soft tissue, extensor tendon, and bone, treated with an emergency free flap for skin cover, primary bone grafts, and tendon grafts passed through individual tunnels in the free flap. Four had a good result, four were fair and one poor. Six patients returned to work, two were not working and one was retired. In select patients, emergency reconstruction of severe extensor tendon injuries appears to produce better function, with fewer operations, a shorter hospital stay, minimal complications, and a shorter period of disability.

scholarly journals Venous super-drained posterior interosseous artery flap for dorsal hand defects

Microsurgery ◽  
2018 ◽  
Vol 38 (8) ◽  
pp. 876-881 ◽  
Author(s):  
Erhan Sönmez ◽  
Ersin Aksam ◽  
Mustafa Durgun ◽  
Onder Karaaslan
Keyword(s):  
Posterior Interosseous Artery ◽  
Dorsal Hand ◽  
Hand Defects ◽  
Interosseous Artery ◽  
Posterior Interosseous Artery Flap

scholarly journals Hand Surgery in Saudi Arabia

2020 ◽  
Author(s):  
Abdullah E. Kattan ◽  
Mohammad M. Al-Qattan
Keyword(s):  
Saudi Arabia ◽  
Orthopedic Surgery ◽  
Significant Contribution ◽  
Hand Surgery ◽  
Fellowship Program ◽  
Novel Mutations ◽  
Work Related ◽  
The Past ◽  
Aesthetic Results ◽  
Hand Defects

AbstractHand surgery is a unique field that incorporates multiple specialties, aiming to provide the patient with a best possible functional and aesthetic results. Hand surgeons deal with different pathologies that require skills in several aspects of surgery. The field of hand surgery has evolved significantly over the past decades across the globe. This specialty has also been evolving in Saudi Arabia over the past 25 years. Some of the services offered to patients include specialized centers for brachial plexus, peripheral nerve, and pediatric hand surgery as well as centers for work-related hand injuries. There has also been significant contribution to the hand surgery literature from the hand surgeons working in Saudi Arabia, with hundreds of papers published in journals pertaining to hand surgery, orthopedic surgery, and plastic surgery, as well as the publication of several novel mutations causing congenital hand defects in journals concerned with genetics. The recent approval of a hand and microsurgery fellowship program in Saudi Arabia will also help boost this field in the country and the region.

Island Radial Artery Fasciotendinous Flap for Dorsal Hand Reconstruction

2001 ◽  
Vol 47 (1) ◽  
pp. 83-85 ◽  
Author(s):  
R. Adani ◽  
L. Tarallo ◽  
I. Marcoccio
Keyword(s):  
Radial Artery ◽  
Hand Reconstruction ◽  
Dorsal Hand
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