Soft tissue coverage in devastating hand injuries

Plastic surgical therapy of mutilating hand injuries represents a multifaceted task to the hand surgeon, where considerations about indication, timing, and structure of the soft tissue coverage play a major role in reconstruction. The concept of early primary reconstruction (including emergency proc...

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Bibliographic Details
Published inHand clinics Vol. 19; no. 1; p. 63
Main Authors Giessler, Goetz A, Erdmann, Detlev, Germann, Guenter
Format Journal Article
LanguageEnglish
Published United States 01.02.2003
Subjects
Adult
Algorithms
Dissection
Female
Finger Injuries - surgery
Hand Injuries - surgery
Humans
Male
Microsurgery
Reconstructive Surgical Procedures
Soft Tissue Injuries - surgery
Surgical Flaps
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Summary:Plastic surgical therapy of mutilating hand injuries represents a multifaceted task to the hand surgeon, where considerations about indication, timing, and structure of the soft tissue coverage play a major role in reconstruction. The concept of early primary reconstruction (including emergency procedures) and fast rehabilitation not only demands thoughtful tissue preparation but also mastering of a bandwidth of plastic surgical techniques. Systematic algorithms based on the reconstructive ladder help in decision making in the complexity of soft tissue coverage but have to be adjusted to the individual case profile. General considerations and strategic planning are explained and illustrated by three clinical cases.
ISSN:0749-0712
DOI:10.1016/S0749-0712(02)00128-2