ABSTRACT
Mangled upper extremity, as a result of trauma, is a life-altering event requiring a multidisciplinary approach for a successful outcome. All attempts are made to salvage the extremity and preserve function, which may require multiple complex procedures. This paper discusses the importance of a systematic reconstructive sequence and provides a review of commonly utilized techniques, supported with illustrative cases.
Subject(s)
Arm Injuries/diagnosis , Arm Injuries/surgery , Limb Salvage , Patient Care Team/organization & administration , Plastic Surgery Procedures/methods , Algorithms , Combined Modality Therapy/methods , Female , Follow-Up Studies , Fractures, Bone/surgery , Humans , Injury Severity Score , Male , Peripheral Nerve Injuries/surgery , Soft Tissue Injuries/surgery , Treatment Outcome , Upper Extremity/injuries , Upper Extremity/surgeryABSTRACT
The fingertip is the most commonly injured part of the hand. When replantation of a fingertip amputation is not possible, flap reconstruction may be necessary for a functional and aesthetically pleasing outcome. This paper reviews commonly utilized reconstruction techniques with a focus on technical tricks and potential complications and how to avoid them, with illustrative cases.
