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Arch Hand Microsurg > Volume 23(2); 2014 > Article
Archives of Hand and Microsurgery 2014;23(2):45-50.
Published online November 30, 2014.
DOI: https://doi.org/10.15596/ARMS.2014.23.2.45   
Palmar Hand Wound Coverage with the Free Flaps
Si Young Roh<sup>*</sup>, Kyung Jin Lee, Dong Chul Lee, Jin Soo Kim, Jae-Won Yang<sup>1</sup>
1Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae Hospital, Gwangmyeong, Korea. psczero@gmail.com
2Gangnam Jaejun Plastic Clinic for Hand and Plastic Surgery, Pyeongtaek, Korea.
Received: 10 November 2014   • Accepted: 10 November 2014
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.
Key Words: Microsurgery, Reconstruction surgical procedure, Hand, Free flap
 
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