• Wibke Müller-Seubert, Raymund E Horch, Vanessa Franziska Schmidt, Ingo Ludolph, Marweh Schmitz, and Andreas Arkudas.
• Department of Plastic and Hand Surgery of the Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Krankenhausstr. 12, 91054, Erlangen, Germany. wibke.mueller-seubert@uk-erlangen.de.
• Arch Orthop Trauma Surg. 2021 Jan 1; 141 (1): 165171165-171.

IntroductionSoft tissue reconstruction of the hand and distal upper extremity is challenging to preserve the function of the hand as good as possible. Therefore, a thin flap has been shown to be useful. In this retrospective study, we aimed to show the use of the free temporoparietal fascial flap in soft tissue reconstruction of the hand and distal upper extremity.MethodsWe analysed the outcome of free temporoparietal fascial flaps that were used between the years 2007and 2016 at our institution. Major and minor complications, defect location and donor site morbidity were the main fields of interest.Results14 patients received a free temporoparietal fascial flap for soft tissue reconstruction of the distal upper extremity. Minor complications were noted in three patients and major complications in two patients. Total flap necrosis occurred in one patient.ConclusionThe free temporoparietal fascial flap is a useful tool in reconstructive surgery of the hand and the distal upper extremity with a low donor site morbidity and moderate rates of major and minor complications.

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