Free skin flap coverage of the upper extremity.

Abstract:

:Successful soft tissue reconstruction of the upper extremity must provide stable coverage and restore function to the injured hand. To ensure the best possible outcome after traumatic upper extremity injuries, early radical debridement and early flap coverage that restores all missing tissue components is critical to allow early mobilization. Free flaps provide extraordinary versatility in reconstructing defects of soft tissue, muscle, tendon, and bone.

journal_name

Hand Clin

journal_title

Hand clinics

authors

King EA,Ozer K

doi

10.1016/j.hcl.2014.01.003

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

201-9, vi

issue

2

eissn

0749-0712

issn

1558-1969

pii

S0749-0712(14)00004-3

journal_volume

30

pub_type

杂志文章,评审
  • Kinetic analysis of carpal stability during grip.

    abstract::When the wrist is grasping an object, at least four mechanisms of carpal stabilization are involved-one for each carpal row (proximal and distal), one for the midcarpal joint, and one for the radiocarpal joint. These mechanisms are based on the general principle that, under load-bearing conditions, any bone tends to r...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Garcia-Elias M

    更新日期:1997-02-01 00:00:00

  • Open volar repair of acute scaphoid fractures.

    abstract::Internal fixation of acute scaphoid fractures has significant advantages over conservative treatment, using cast immobilization. Healing rates are improved, functional recovery is accelerated, and morbidity is reduced. Percutaneous fixation has become the treatment of choice for the majority of acute fractures, since ...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Herbert TJ

    更新日期:2001-11-01 00:00:00

  • Complex injuries of the forearm. Coverage considerations.

    abstract::Complex forearm injuries involve damage to the skin and underlying tissues. The best results are obtained when a multidisciplinary approach is taken to their management. Management of the acute injury should be done in a manner that takes into consideration late reconstructive procedures and best possible final functi...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Bray PW,Boyer MI,Bowen CV

    更新日期:1997-05-01 00:00:00

  • Secondary reconstruction of the extensor tendons and overlying soft tissue deficiency.

    abstract::Reverse-flow pedicled radial forearm tendocutaneous flap transfers were performed to reconstruct simultaneous skin and tendon defects in the dorsum of the hand in six patients. All flaps survived and four of six patients obtained good functional results. To obtain satisfactory functional outcome, early surgical repair...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Tamai S,Yajima H,Inada Y

    更新日期:1999-11-01 00:00:00

  • Rheumatoid flexor tenosynovitis and rupture.

    abstract::Rheumatoid flexor tenosynovitis at the wrist can cause locking, limitation of motion, nerve compression, and rupture of tendons. To prevent and treat these conditions, a flexor tenosynovectomy, combined with nerve decompression and tendon reconstruction as indicated, is necessary. If tendons are ruptured, the flexor p...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Ferlic DC

    更新日期:1996-08-01 00:00:00

  • Evaluation and staging of musculoskeletal neoplasia.

    abstract::Musculoskeletal neoplasia are rare and can present in a highly variable fashion. Maintaining an index of suspicion for the presence of neoplasia is important. A standard approach to evaluation with history, physical, and appropriate imaging studies is mandatory. This information then can be synthesized to properly sta...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2004.03.008

    authors: Parsons TW 3rd,Filzen TW

    更新日期:2004-05-01 00:00:00

  • Free Flaps for Soft Tissue Reconstruction of Digits.

    abstract::Soft tissue reconstruction of the digit is challenging for hand surgeons because it must satisfy both functional and aesthetic requirements. A wide variety of treatment options exist. A free flap can be an alternative solution in some clinical situations. This article has 2 purposes. First, it discusses various consid...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2019.08.008

    authors: Lee Y,Woo SH,Kim YW,Lee YH,Baek GH

    更新日期:2020-02-01 00:00:00

  • Frostbite of the upper extremity.

    abstract::Human capacity for physiologic adaptation to cold is minimal; we survive by insulating ourselves with protective clothing. In addition to the irreversible direct injury caused by ice crystallization, the authors have outlined four possible mechanisms by which indirect injury may damage tissue. Other than rapid rewarmi...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Su CW,Lohman R,Gottlieb LJ

    更新日期:2000-05-01 00:00:00

  • Wrist anatomy and surgical approaches.

    abstract::Appreciation and knowledge of anatomy as it relates to surgical approaches is critical for planning treatment of traumatic wrist injuries. This article discusses the pertinent anatomy and some of the more commonly used approaches to wrist trauma. ...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:10.1016/j.hcl.2009.08.009

    authors: Cardoso R,Szabo RM

    更新日期:2010-02-01 00:00:00

  • Treatment of advanced carpometacarpal joint disease: arthrodesis.

    abstract::Thumb carpometacarpal arthritis is a common condition that may result in debilitating pain and loss of acceptable hand function. If patients continue to be symptomatic after a trial of nonoperative management, many surgical options exist in the treatment of carpometacarpal arthritis. For isolated trapeziometacarpal ar...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2008.03.006

    authors: Kenniston JA,Bozentka DJ

    更新日期:2008-08-01 00:00:00

  • Anatomy and function of lumbrical muscles.

    abstract::The lumbrical muscles are unique in having their origin and insertion on tendons. The lumbricals assist in metacarpophalangeal joint flexion; they contribute to interphalangeal joint extension by acting as deflexors of the proximal interphalangeal joint. Anatomically, they are highly specialized in terms of their arch...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2011.09.002

    authors: Palti R,Vigler M

    更新日期:2012-02-01 00:00:00

  • Elbow Dislocations in Contact Sports.

    abstract::Elbow dislocations are more common in athletes than in the general population. Simple elbow dislocations should be managed with early range of motion and early return to sport, even with high-level contact athletes. Patients with instability on examination or with complex elbow dislocations may require surgical interv...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2016.08.003

    authors: Morris MS,Ozer K

    更新日期:2017-02-01 00:00:00

  • Rheumatoid arthritis: silicone metacarpophalangeal joint arthroplasty indications, technique, and outcomes.

    abstract::Silicone implant arthroplasty has been used for more than 40 years for severe rheumatoid disease at the metacarpophalangeal (MCP) joint. Multiple investigations have shown that silicone arthroplasty places the MCP joint in a more extended posture, with some improvement in the total arc of motion. Ulnar drift is also i...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2006.02.001

    authors: Goldfarb CA,Dovan TT

    更新日期:2006-05-01 00:00:00

  • Long-term evaluation of brachial plexus surgery in obstetrical palsy.

    abstract::The author reviews the long-term results of a large series of obstetrical brachial plexuses. The results of direct repair and secondary tendon transfers are reviewed. ...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Gilbert A

    更新日期:1995-11-01 00:00:00

  • Complications in tendon injury and surgery.

    abstract::Despite continued improvement in the methods used to treat tendon injury, problems still arise. Careful attention paid to the details of surgical indications, technique, and postoperative management will prevent or reduce the effects of complications in this difficult area of hand surgery. ...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Schneider LH

    更新日期:1986-05-01 00:00:00

  • Current management of metacarpal fractures.

    abstract::Metacarpal fractures are common, and many can be managed nonoperatively with appropriate reduction and immobilization. As with any hand fracture, the primary goals are to achieve anatomic and stable reduction, bony union, and early mobilization to minimize disability. Appropriate treatment requires a keen understandin...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:10.1016/j.hcl.2013.09.004

    authors: Diaz-Garcia R,Waljee JF

    更新日期:2013-11-01 00:00:00

  • Skin Coverage Considerations in a Mutilating Hand Injury.

    abstract::The foremost goal of managing a mutilated hand is provision of adequate skin coverage. The most suitable method is free tissue transfer. The specific role of volar surface requires replacement tissue to have similar texture for aesthetically satisfactory and functionally acceptable outcomes. Hand surgeons must approac...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2016.07.002

    authors: Lee K,Roh S,Lee D,Kim J

    更新日期:2016-11-01 00:00:00

  • Electrical and ultrasound stimulation for scaphoid fractures.

    abstract::The standard treatment for delayed union or nonunion of the scaphoid is operative management. Electrical stimulation has been employed in these clinical situations in patients unable or unwilling to undergo surgical intervention. Recent interest has also focused on the use of low-intensity ultrasound as an adjunct to ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Divelbiss BJ,Adams BD

    更新日期:2001-11-01 00:00:00

  • Treatment of preaxial polydactyly.

    abstract::Preaxial polydactyly is the result of aberrant bifurcation of the embryonic preaxial anlage. Effective reconstruction of thumb duplication requires careful evaluation of all components. Skin, nail, bone, ligament, and musculoskeletal elements must be combined to reconstruct an optimal digit. ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Light TR

    更新日期:1992-02-01 00:00:00

  • Z-plasties and related procedures for the hand and upper limb.

    abstract::The Z-plasty is a useful procedure in surgery of the upper limb for lengthening skin along a selected axis, for breaking up a straight line, and for obliterating webs. At least six geometric variables are considered in designing a conventional Z-plasty, and several modified designs must be considered. Geometrical mode...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Furnas DW

    更新日期:1985-11-01 00:00:00

  • Surgical strategy: matching the patient with the procedure.

    abstract::The general indications, timing, and choice of procedure can be determined by asking and answering the following questions appropriately: 1. Has the patient achieved neurologic, emotional, and social stability? 2. What is the patient's current level of motor and sensory resources and function? The number and strength ...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:10.1016/s0749-0712(02)00030-6

    authors: Hentz VR

    更新日期:2002-08-01 00:00:00

  • Clinical and radiologic features of primary osteoarthritis of the hand.

    abstract::An appreciation of the salient clinical and radiologic presentations of osteoarthritis, as well as associated tenosynovial problems (stenosing tenosynovitis and carpal tunnel syndrome), is necessary for effective diagnosis. The treatment of osteoarthritis is predicated upon an understanding of the anatomy and pathomec...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Dray GJ,Jablon M

    更新日期:1987-08-01 00:00:00

  • Pulse volume recording.

    abstract::Noninvasive studies, in general, and pulse volume recordings (PVRs), in particular, play important roles in diagnosis, planning, and monitoring of therapy for vascular disorders of the upper extremity. Essentially, PVR is a useful screening tool to show whether hemodynamically significant vascular disease has produced...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Kleinert JM,Gupta A

    更新日期:1993-02-01 00:00:00

  • Pre-/postoperative therapy for adult plexus injury.

    abstract::The rehabilitation of patients who have sustained brachial plexus injuries is essential. Therapy is performed to maintain and increase range of motion, retard the rate of muscle atrophy, and re-educate the muscles once the reconstructive surgeries have been per-formed and reinnervation is verified. This article discus...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2004.10.003

    authors: Kinlaw D

    更新日期:2005-02-01 00:00:00

  • Endoscopic carpal tunnel release. A current perspective.

    abstract::Carpal tunnel syndrome is defined as a clinical condition related to dysfunction of the median nerve specifically related to the carpal tunnel. This article reviews anatomy, current surgical treatment options, technique, indications and contraindications, efficacy, complications, and the author's own perspective on th...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Berger RA

    更新日期:1994-11-01 00:00:00

  • Microsurgical Reconstruction of the Burned Hand and Upper Extremity.

    abstract::Improvements in critical care and burn victim resuscitation have led to increased survival of burned patients. Initial resuscitation, early excision of burned tissues, prevention of burn wound sepsis, and wound coverage remain mainstays of care. Many burn wounds require complex reconstruction. This is particularly imp...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2016.12.007

    authors: De la Garza M,Sauerbier M,Günter G,Cetrulo CL Jr,Bueno RA Jr,Russell RC,Neumeister MW

    更新日期:2017-05-01 00:00:00

  • Proximal compressions of the upper limb neurovascular bundle. An anatomic research study.

    abstract::From a research work on 40 upper limbs of nonembalmed specimens, several narrow passages for the brachial plexus and the axillosubclavian vessels are described, extending from the neck and mediastinum to the lower border of the pectoralis major. The effects of sustained forced positions are also discussed, and the rol...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Poitevin LA

    更新日期:1988-11-01 00:00:00

  • Failure of differentiation: Part II (arthrogryposis, camptodactyly, clinodactyly, madelung deformity, trigger finger, and trigger thumb).

    abstract::The term "failure of differentiation" describes the phenotypes of a large number of otherwise unrelated conditions. The six conditions described here (arthrogryposis, camptodactyly, clinodactyly, Madelung deformity, trigger finger, and trigger thumb) are believed to occur because various structures failed to different...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2008.12.003

    authors: Ty JM,James MA

    更新日期:2009-05-01 00:00:00

  • Mutilating injuries of the hand.

    abstract::Initial operative care of mutilating injuries is discussed as well as reconstructive procedures for partial hand amputees, including digital transposition and bone grafting. ...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Burkhalter W

    更新日期:1986-02-01 00:00:00

  • Dupuytren's disease of the radial side of the hand.

    abstract::The systematic examination and recording, ray by ray, using the author's method of assessment of Dupuytren's disease have revealed that there are more Dupuytren's disease cases affecting the radial side of the hand than usually believed. The aponeurotic structures of the thumb and first web space are described. The lo...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Tubiana R

    更新日期:1999-02-01 00:00:00