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Review
. 2011:31:110-20.

Digital soft tissue trauma: a concise primer of soft tissue reconstruction of traumatic hand injuries

Miguel A Ramirez  1 , Kenneth R Means Jr
Affiliations
Review

Digital soft tissue trauma: a concise primer of soft tissue reconstruction of traumatic hand injuries

Miguel A Ramirez et al. Iowa Orthop J. 2011.
No abstract available

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Figures

Figure I
Figure I
Levels of Amputations
Figure 2
Figure 2
Hand soft tissue coverage options
Figure 3
Figure 3
Double cross-finger flap. A. Two fingers with volar soft-tissue defects. B. Two full-thickness grafts raised from dorsal P2. C. Flaps attached to soft-tissue defect D. Full thickness skin graft covers donor site. E-F. Follow-up photographs.
Figure 4
Figure 4
Reversed cross-finger flap. A. Dorsal finger defect. B Subcutaneous flap raised from adjacent finger. C. Deep paratenon layer identified and raised (D). E .Donor site closed with superficial layer. F. Deep layer placed over defect and skin graft sutured in place.
Figure 5
Figure 5
Thenar flap. A. Finger tip soft tissue defect with exposed bone . B Defect is measured. C Thenar flap of slightly larger dimensions raised (see text). D Finger sutured into position of least PIP and DIP flexion. Courtesy of Jaret Butler, MD
Figure 6
Figure 6
Moberg Flap. A-B. Thumb amputation just distal to IP joint with exposed bone. C. Full-thickness flap elevated with neurovascular bundles (arrows) within the flap. D. Flap transposed to cover defect. E-F. Wound closed with chromic suture.
Figure 7
Figure 7
FDMA (kite) flap. A. Distal thumb defect with exposed bone. B-C. FDMA flap raised and transposed over tissue defect. D. Skin is closed and skin graft placed over the donor site.
Figure 8
Figure 8
Reversed radial forearm flap. A-B. Failed thumb replantation after debridement resulted in significant thumb soft tissue loss. C-D. A reversed radial forearm flap was used to bring vascularized fasciocutaneous tissue to the thumb.
See this image and copyright information in PMC

References

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