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Semin Plast Surg 2003; 17(1): 049-068
DOI: 10.1055/s-2003-39856
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Indications for Microvascular Upper Extremity Reconstruction

David T. Netscher
  • Division of Plastic Surgery, Baylor College of Medicine and Department of Plastic Surgery Service, Department of Veterans Affairs, Medical Center, Houston, TX
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Publication History

Publication Date:
16 June 2003 (online)

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ABSTRACT

This article defines the optimum choices for soft tissue and bone defects in upper extremity reconstructions. Under certain circumstances, pedicle flaps may be a better choice than microvascular tissue transfer. Some of the pedicle transfers such as the intrinsic hand flaps and pedicled vascularized bone grafts around the wrist require microvascular tissue handling techniques, although a microvascular anastomosis is not specifically performed. Although refinements in pedicle flaps have defined their role in reconstructive upper extremity surgery, many reconstructions could not be performed without microvascular tissue transfer. Specific indications for microvascular upper extremity reconstruction are discussed.

KEYWORDS

Microvascular upper extremity reconstruction - pedicle transfers - microvascular tissue transfer

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