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Review
. 1992 Oct;19(4):841-57.

Refinements in hand coverage with microvascular free flaps

J Upton  1 , R J Havlik, R K Khouri
Affiliations
  • PMID: 1339640
Review

Refinements in hand coverage with microvascular free flaps

J Upton et al. Clin Plast Surg. 1992 Oct.

Abstract

The specialized tissue requirements or dorsal and palmar skin are analyzed and options for full-thickness replacement outlined in detail. Thoughtful and accurate preoperative planning is the key to success. Dorsal coverage with a variety of pedicled and free fasciocutaneous flaps are quite satisfactory. Palmar coverage is more difficult and the need for sensation more critical. Free vascularized temporoparietal fascial flaps covered with full-thickness skin grafts are currently the treatment of choice for most complex wounds.

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