Three decades ago, pedicled flaps from the groin and abdomen were the workhorses in
hand and forearm reconstruction. These pedicled flaps have several disadvantages …

Secondary thinning can be aggressively performed in pedicled flaps. When vessels are not
available for free flaps, or when free flaps fail, pedicled flaps can be a lifeboat. Pedicled flaps …

This is the second of a two-part review article on the management of conflict injuries,
focused on the reconstructive strategies for bone, nerve and soft tissue and to provide …

Methods This is a retrospective study of the patients who underwent reconstruction of hand
and forearm defects with SIEA flap from 2006 to 2018. The flap was designed on the …

Traumatic digit defects of high complexity and with inadequate local tissue represent
challenging surgical problems. Recently, perforator flaps have been proposed for …

Background. The medial femoral condyle (MFC) flap is a versatile option for the
reconstruction of small osseous defects; however, its use in reconstructing phalanges and …

Ten cases of post-traumatic skin and soft tissue loss over the digits were resurfaced by free
'mini'groin flap. Five patients had defects of the dorsum of the digit, three had proximal …

We describe a technique modification of the 'many tailed'flaps for multiple digital defects in
adjacent digits described in 1980. This is a versatile technique for providing cover to multiple …

Mutilated upper limbs suffer loss of substance of various tissues with loss of prehension. The
most important factor in salvage of a mutilated hand is involvement of a senior surgeon at …

Large segmental bone defects of the phalanges reportedly have been treated with free
vascularized grafts from the hand, foot, or knee, or with nonvascularized grafts from the iliac …