BOOK
Flap Reconstruction of the Traumatized Upper Extremity, An Issue of Hand Clinics, E-Book
(2014)
Additional Information
Book Details
Abstract
This issue of Hand Clinics will focus on flap reconstruction. Flap reconstruction is a very large part of upper extremity surgery following a traumatic injury. This issue will cover the entire process including anatomy, decision-making strategies on where to source/harvest flaps, and a large number of papers tailored to specific surgical procedures: different parts of the hand and upper extremity, pediatric reconstruction, and aesthetics.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Flap Reconstruction ofthe Traumatized Upper\rExtremity | i | ||
| copyright\r | ii | ||
| Contributors | iii | ||
| Contents | v | ||
| Hand Clinics\r | viii | ||
| Preface | ix | ||
| An Evolutionary Perspective on the History of Flap Reconstruction in the Upper Extremity | 109 | ||
| Key points | 109 | ||
| Introduction | 109 | ||
| Antiquity to the Industrial Revolution | 110 | ||
| Early Antiquity: Accumulation of Core Anatomic Knowledge and the Initial Principles of Plastic Surgery | 110 | ||
| Antiquity (After the Dark Age): Rediscovery and Progress in Anatomy and Plastic Surgical Technique | 111 | ||
| Limb Injuries in Antiquity | 111 | ||
| Industrial Revolution to World War I | 112 | ||
| The 1700s to 1800s: the Industrial Revolution | 112 | ||
| Developments in Surgery | 112 | ||
| Facial Reconstruction Establishes the Principles of Flap Reconstruction of the Upper Extremity | 112 | ||
| Flap Reconstruction Reaches the Extremities and Trunk | 113 | ||
| World War I | 113 | ||
| World War I to World War II | 113 | ||
| Interwar Period | 113 | ||
| World War II | 114 | ||
| After World War II | 114 | ||
| Additional First-generation Intrinsic Hand Flaps | 115 | ||
| Second-generation Intrinsic Hand Flaps | 115 | ||
| Head and Neck Concepts Translated to the Upper Extremity | 115 | ||
| Free Flaps Arrive | 115 | ||
| Pedicled Muscle and Myocutaneous Flaps | 117 | ||
| Third-generation Intrinsic Hand Flaps | 117 | ||
| 1990 to the 2010s | 117 | ||
| Perforator/Free-style Flaps Developed from Anatomic Insights | 117 | ||
| Fourth-generation Intrinsic Hand Flaps and the Information Revolution | 118 | ||
| The Future: Evidence-based Practice | 118 | ||
| References | 118 | ||
| Anatomy and Physiology of Perforator Flaps of the Upper Limb | 123 | ||
| Key points | 123 | ||
| Introduction | 123 | ||
| What is a Perforator Flap? | 123 | ||
| Upper Extremity Reconstruction | 124 | ||
| Anatomy | 124 | ||
| Flap physiology and general principles | 126 | ||
| Perforator flaps of the upper extremity | 127 | ||
| Radial Artery Perforator Flap | 128 | ||
| Vascular anatomy | 128 | ||
| Flap elevation | 128 | ||
| Ulnar Artery Perforator Flap | 129 | ||
| Local Flaps of the Hand | 137 | ||
| Key points | 137 | ||
| Introduction | 137 | ||
| General considerations | 138 | ||
| Classification of skin flaps | 138 | ||
| Random Pattern Flaps | 139 | ||
| Axial Pattern Flaps | 139 | ||
| Dorsum of the hand | 139 | ||
| The rotation flap | 139 | ||
| The rhomboid/Limberg flap | 139 | ||
| Fingers | 140 | ||
| The V-Y advancement flap | 141 | ||
| The thenar flap | 141 | ||
| The cross-finger flap | 142 | ||
| The homodigital island flap | 145 | ||
| The dorsal metacarpal artery flap | 146 | ||
| Thumb | 147 | ||
| The Moberg flap | 147 | ||
| The first DMCA flap (kite flap) | 148 | ||
| The dorsoulnar and dorsoradial collateral artery flaps | 150 | ||
| Summary | 150 | ||
| References | 150 | ||
| Flap Reconstruction of the Elbow and Forearm | 153 | ||
| Key points | 153 | ||
| Introduction | 153 | ||
| Principles of reconstruction | 153 | ||
| Fasciocutaneous flaps | 154 | ||
| Clinical Scenarios | 154 | ||
| Radial forearm pedicle flap | 154 | ||
| Discussion | 154 | ||
| Reverse lateral arm pedicle flap | 155 | ||
| Discussion | 156 | ||
| Free anterolateral thigh free flap | 156 | ||
| Discussion | 157 | ||
| Muscle and myocutaneous flaps | 157 | ||
| Clinical Scenarios | 157 | ||
| Flexor carpi ulnaris pedicle flap | 157 | ||
| Free Muscle Flaps for Reconstruction of Upper Limb Defects | 165 | ||
| Key points | 165 | ||
| Introduction | 165 | ||
| Early Complete Debridement | 166 | ||
| Immediate Flap Reconstruction | 167 | ||
| Delayed Flap Reconstruction | 168 | ||
| Initial requirements | 168 | ||
| Principles of Debridement | 169 | ||
| Indications | 169 | ||
| Choice of flap | 169 | ||
| Indications for muscle flaps, and rational selection | 170 | ||
| Advantages of Muscle Flaps | 171 | ||
| Surgical technique | 171 | ||
| Latissimus Dorsi Muscle Flap | 171 | ||
| Indications | 171 | ||
| Anatomy | 174 | ||
| Surgical procedure | 175 | ||
| Rectus Abdominis Muscle Flap | 177 | ||
| Indications, Selection, and Use of Distant Pedicled Flap for Upper Limb Reconstruction | 185 | ||
| Key points | 185 | ||
| Introduction | 185 | ||
| Anatomic considerations | 186 | ||
| General principles | 187 | ||
| Preparation of the Bed | 187 | ||
| Plan the Flap in Reverse | 187 | ||
| Keep the Base Narrow and Raise Custom Designed Flaps | 187 | ||
| Keep Appropriate Length of the Pedicle | 187 | ||
| Thin the Business End of the Flap | 187 | ||
| Bevel the Fat at the Skin Edge Before Inset | 189 | ||
| Need for Delay Before Division of the Flap | 189 | ||
| Complex Primary Reconstruction with Pedicled Flaps for Cover | 191 | ||
| Anesthesia | 191 | ||
| Site-specific technical considerations | 191 | ||
| Flaps for the Fingers | 191 | ||
| Flaps to the Hand | 191 | ||
| Flaps to the Forearm and for Combined Defects | 193 | ||
| Flaps to the Elbow | 194 | ||
| Flaps in Children | 194 | ||
| Postoperative care | 195 | ||
| Secondary procedures | 197 | ||
| Thinning of the Flap | 197 | ||
| Secondary Reconstructions Under the Flap | 198 | ||
| Complications | 198 | ||
| Summary | 198 | ||
| References | 198 | ||
| Free Skin Flap Coverage of the Upper Extremity | 201 | ||
| Key points | 201 | ||
| Introduction | 201 | ||
| Definition and classification of skin flaps | 201 | ||
| Free versus local flap coverage: indications | 202 | ||
| Commonly used free skin flaps | 202 | ||
| Venous Free Flaps | 202 | ||
| Radial Forearm Flap | 202 | ||
| Lateral Arm Flap | 203 | ||
| Anterolateral Thigh Flap | 204 | ||
| Thoracodorsal Artery Flap | 206 | ||
| Scapular-Parascapular Flap | 207 | ||
| Temporoparietal Fascia Flap | 207 | ||
| Summary | 207 | ||
| References | 208 | ||
| Refinements and Secondary Surgery After Flap Reconstruction of the Traumatized Hand | 211 | ||
| Key points | 211 | ||
| Introduction | 211 | ||
| Flap reconstruction | 211 | ||
| Musculocutaneous and Muscle Flaps | 211 | ||
| Fasciocutaneous Flaps | 212 | ||
| Fascial Flaps | 212 | ||
| Flap Selection | 213 | ||
| Refinements and secondary procedures | 213 | ||
| Secondary Bone Procedures | 213 | ||
| Malunion | 214 | ||
| Nonunion | 214 | ||
| Secondary Joint Procedures | 215 | ||
| Joint stiffness secondary to joint contracture | 215 | ||
| Joint stiffness secondary to posttraumatic arthrosis | 215 | ||
| Secondary Tendon Procedures | 216 | ||
| Flexor tendon injury and reconstruction | 216 | ||
| Tendon adhesions | 216 | ||
| Optimizing Functional and Aesthetic Outcomes of Upper Limb Soft Tissue Reconstruction | 225 | ||
| Key points | 225 | ||
| Introduction | 225 | ||
| Patient body habitus | 226 | ||
| Anatomic location | 226 | ||
| Dorsal Hand Wound | 227 | ||
| Thumb Pulp Defect | 227 | ||
| First Web Space Defect | 228 | ||
| Volar Finger Defect | 229 | ||
| Flap selection | 229 | ||
| Fasciocutaneous Flaps | 229 | ||
| Muscle Flaps | 232 | ||
| Fascial Flaps | 234 | ||
| Venous Flaps | 235 | ||
| Flap insetting | 235 | ||
| Summary | 236 | ||
| References | 236 | ||
| Dermal Skin Substitutes for Upper Limb Reconstruction | 239 | ||
| Key points | 239 | ||
| Introduction | 239 | ||
| Histologic properties of dermal skin substitutes | 240 | ||
| Application of dermal substitutes | 241 | ||
| Clinical indications and outcomes of dermal skin substitutes | 241 | ||
| Burn Injuries | 243 | ||
| Traumatic Injuries | 245 | ||
| Other potential indications of dermal substitutes | 246 | ||
| Soft Tissue Reconstruction After Tumor Resection | 246 | ||
| Soft Tissue Reconstruction After Radial Forearm Flap Harvest | 249 | ||
| Soft Tissue Reconstruction After Excision of Dupuytren Contracture | 249 | ||
| Summary | 250 | ||
| References | 250 | ||
| Index | 253 |