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Coverage of soft‐tissue defects of the hand with free fascial flaps

Coverage of soft‐tissue defects of the hand with free fascial flaps Coverage of exposed functional structures such as tendons, bones, vessels, or nerves at the dorsal and palmar surface of the hand requires thin, supple tissue to provide adequate range of motion and a satisfying aesthetic result. The purpose of this retrospective study was to evaluate the functional and aesthetic results after coverage of the hand with free fascial flaps. From 1994–2002, 14 patients underwent free fascial flap coverage of the hand with 4 tempo‐parietal fascia flaps and 11 serratus fascia flaps. Eight patients could be reexamined and answered a questionnaire about their satisfaction with the functional and aesthetic results. The mean follow‐up was 41.7 months. Average active range of motion of the hand, functional improvement, and the aesthetic result were satisfying in all follow‐up patients. No secondary debulking or other contouring procedures were required. We recommend the use of free fascial flaps as a valuable alternative to fasciocutaneous or muscle flaps, since the functional results are excellent, no additional procedures were necessary, and the aesthetic results are appealing. © 2004 Wiley‐Liss, Inc. Microsurgery 25:47–53, 2005. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Microsurgery Wiley

Coverage of soft‐tissue defects of the hand with free fascial flaps

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References (49)

Publisher
Wiley
Copyright
Copyright © 2004 Wiley‐Liss, Inc.
ISSN
0738-1085
eISSN
1098-2752
DOI
10.1002/micr.20070
pmid
15529304
Publisher site
See Article on Publisher Site

Abstract

Coverage of exposed functional structures such as tendons, bones, vessels, or nerves at the dorsal and palmar surface of the hand requires thin, supple tissue to provide adequate range of motion and a satisfying aesthetic result. The purpose of this retrospective study was to evaluate the functional and aesthetic results after coverage of the hand with free fascial flaps. From 1994–2002, 14 patients underwent free fascial flap coverage of the hand with 4 tempo‐parietal fascia flaps and 11 serratus fascia flaps. Eight patients could be reexamined and answered a questionnaire about their satisfaction with the functional and aesthetic results. The mean follow‐up was 41.7 months. Average active range of motion of the hand, functional improvement, and the aesthetic result were satisfying in all follow‐up patients. No secondary debulking or other contouring procedures were required. We recommend the use of free fascial flaps as a valuable alternative to fasciocutaneous or muscle flaps, since the functional results are excellent, no additional procedures were necessary, and the aesthetic results are appealing. © 2004 Wiley‐Liss, Inc. Microsurgery 25:47–53, 2005.

Journal

Microsurgery – Wiley

Published: Jan 1, 2005

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