• Hand clinics · Aug 2017

    Review

    Microsurgical Flaps in Repair and Reconstruction of the Hand.

    • Shimpei Ono, Sandeep J Sebastin, Hiroyuki Ohi, and Kevin C Chung.
    • Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan. Electronic address: s-ono@nms.ac.jp.
    • Hand Clin. 2017 Aug 1; 33 (3): 425-441.

    AbstractThe authors' strategy for soft-tissue coverage of the hand is presented. The concept of replacing like with like and reconstruction with similar adjacent tissue enhances functional and aesthetic outcomes. In this viewpoint, the pedicle perforator flap is an ideal flap. A decision-making algorithm to select an ideal flap for a particular hand defect is challenging, requiring experiential consideration of functional outcome, appearance, donor-site morbidity, and patient satisfaction. To assist surgeons in determining the most appropriate flap with more evidence, studies are necessary to compare the outcomes of each flap by evaluating hand function, aesthetics, donor site morbidity, and patient satisfaction.Copyright © 2017 Elsevier Inc. All rights reserved.

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