Free Flap Transfer for the Reconstruction of Injured Hands

Search: J Korean Surgery Hand Soc Search

CLOSE

Journal of the Korean Society for Surgery of the Hand 2005;10(4):234-241.
Published online December 1, 2005.

Soo Bong Hahn, Sung Hun Kim, Jae Hak Jung, Ho Jung Kang

손상 수부의 재건에 사용된 유리 피판술

한수봉, 김성훈, 정재학, 강호정

Abstract

Purpose
The purpose is to analyze the clinical results of a free flap transfer for the reconstruction of variously injured hands. Materials and Methods: Between March 1983 and December 2002, we reviewed retrospectively 79 patients (68 mem, 11 women) treated for soft tissue defects or functional loss of hands or forearms. There were 49 mechanical injuries, 20 traffic accidents, 6 burn scars, 2 tumorous condition, 2 bite injuries. The results were evaluated with flap survival rate and functional score using 4 grading system of Jung’s criteria. Result: Sixty four out of total 79 flaps successfully survived (81%). There were 18 wrap around flaps (out of them 17 survived, 94%), 14 parascapular flaps (11, 78%), 16 groin flaps (14, 87%), 10 dorsalis pedis flaps (7, 70%), 5 lateral arm flaps (3, 60%), 3 deltoid flaps (2, 67%), 6 gracillis flaps (4, 67%), 3 first web space flaps (2, 67%), 2 latissimus dorsi flaps (2, 100%), 2 lateral thigh flaps (2, 100%). Out of survived 64 cases, excellent or good results were obtained in 62 cases. Conclusion: Free flap transfer for the reconstruction of injured hands is very useful method for the functional and cosmetic recovery. Especially combined transfer of several tissues enables the primary reconstruction and rapid recovery.

TOOLS

PDF Links
Full text via DOI
Download Citation

Share :

METRICS

677 View
2 Download

Related articles in Arch Hand Microsurg

Keystone flap for reconstruction of ulnar side defect of the hand: a case report 2022 September;27(3)

Finger Reconstrcution by Inguinal Tubed Flap2005 ;10(3)

Various Functioning Free Muscle Transfer For Restoration of Hand Function2002 December;7(2)

Tendon Transfer on the Impaired Hand by Injuries1997 November;2(2)

Local Flap Transfer on Finger Tip Injuries1996 November;1(1)

About

Article and topics

Article category

Browse all articles >

Topics

Browse all articles >

Browse articles

Editorial policies

For contributors

Editorial Office: St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, 93 Ji-dong, Paldal-gu, Suwon 16247, Korea
Tel: +82-31-249-7186 Fax: +82-31-254-7186 E-mail: journal@handmicro.org