Arch Reconstr Microsurg.  2014 Nov;23(2):45-50. 10.15596/ARMS.2014.23.2.45.

Palmar Hand Wound Coverage with the Free Flaps

• Roh SY
• Lee KJ
• Lee DC
• Kim JS
• Yang JW

• KMID: 1917838
• DOI: http://doi.org/10.15596/ARMS.2014.23.2.45

Abstract

Palmar soft tissue defects are best reconstructed using a replacement flap of proper size with adequate soft tissue stability for mechanical resistance as well as with protective sensation. Reconstructive approaches are dictated by injury mechanism, defect size and location, and the status of the wound bed and tendino-skeletal structure. While uninjured portions of the hand can be used as a source for local flaps, the use of free flaps allows for maximal access for selection of the most ideal replacement tissue for the defect to be restored as close to the initial state as possible. Here, we review the garden variety of free flaps used in reconstruction of palmar soft tissue defects.

Keyword

Microsurgery; Reconstruction surgical procedure; Hand; Free flap

MeSH Terms

Free Tissue Flaps*
Hand*
Microsurgery
Sensation
Wounds and Injuries*