Preservation of hand function using muscle perforator flaps.

Publication/Presentation Date

3-1-2009

Abstract

Adequate soft tissue coverage is imperative after any interventions performed to maximize or preserve hand function. Although this can most simply be achieved by primary closure or a skin graft if possible, often a vascularized flap will be preferable, especially if a later secondary procedure is planned. Even moderately sized skin deficits of the upper extremity, and especially if involving the hand itself, can be better covered using a free tissue transfer. Many reasonable options in this regard are available. Muscle perforator flaps, as a relatively new variant of a fasciocutaneous flap, have unique attributes, including availability, diversity, accessibility, large size, and lengthy vascular pedicle, and since no muscle need be included, donor site function is preserved. As is shown here in a series of nine muscle perforator flaps in eight patients, these represent yet another alternative that should be considered if selection of a free flap is indicated to maintain hand function.

Volume

4

Issue

1

First Page

38

Last Page

43

ISSN

1558-9447

Disciplines

Medicine and Health Sciences

PubMedID

18780005

Department(s)

Department of Surgery

Document Type

Article

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