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Advanced Concepts in Vascularized Tissue Transfer in the Hand

  • Chapter
Tissue Surgery

Part of the book series: New Techniques in Surgery Series ((NEWTECHN,volume 1))

Abstract

Soft tissue defects in the hand with exposed tendons, bones, or joints often present difficult reconstructive problems. These problems are usually related to the limited availability of local flaps and to the technically demanding dissections of their delicate vasculature. Microsurgical dissection techniques and a precise knowledge of anatomy are required to successfully release these flaps. Rediscovery of anatomical studies by Spalteholz, Manchot, and Salmon provided the impetus for modern anatomical studies of the vasculature of the hand. These studies in turn led to a new generation of flaps in a wide variety of sizes and from a wide variety of donor sites. Most of these flaps are from the dorso-lateral aspect of the hand and digits; only a few are raised at the palmar aspect. In this chapter, we review some advanced concepts of transferring intrinsic flaps of the hand, including complex reconstruction with multiple-component chimeric flaps.

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Authors and Affiliations

  1. Department of Hand, Plastic and Reconstructive Surgery, Burn Center, BG-Trauma, Center Ludwigshafen, University of Heidelberg, Ludwigshafen, Germany

    Holger Engel MD & Günter Germann MD, PhD

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  1. Holger Engel MD
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  2. Günter Germann MD, PhD
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Editors and Affiliations

  1. Microsurgery Training, Department of Plastic Surgery, The Cleveland Clinic Foundation, Cleveland, OH, USA

    Maria Z. Siemionow MD, PhD, DSc (Director of Plastic Surgery Research and Head) (Director of Plastic Surgery Research and Head)

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Engel, H., Germann, G. (2006). Advanced Concepts in Vascularized Tissue Transfer in the Hand. In: Siemionow, M.Z. (eds) Tissue Surgery. New Techniques in Surgery Series, vol 1. Springer, London. https://doi.org/10.1007/1-84628-128-8_3

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  • DOI: https://doi.org/10.1007/1-84628-128-8_3

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