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Review
. 2021 Oct;124(10):789-796.
doi: 10.1007/s00113-021-01077-5. Epub 2021 Sep 17.

[Reconstruction of defects on the hand]

[Article in German]
Mathias Witt  1   2 , Mehmet A Altintas  3
Affiliations
Review

[Reconstruction of defects on the hand]

[Article in German]
Mathias Witt et al. Unfallchirurg. 2021 Oct.

Abstract
in English, German

From a reconstructive viewpoint, injuries of the hand are particularly challenging. They are often associated with exposed tendons, bones, nerves and vessels, whereas little skin and soft tissue reserves are available for coverage. Functional and esthetic requirements necessitate a differentiated approach, depending on the location and extent of the defect. This article gives an overview of reconstruction techniques and flap surgery on the hand for various defect sizes and locations.

Aus rekonstruktiver Sicht stellen Handverletzungen besondere Herausforderungen dar, da sie oft mit freiliegenden Sehnen, Knochen und Leitungsstrukturen einhergehen und da an der Hand nur wenige Haut-Weichteil-Reserven zur Deckung vorhanden sind. Funktionelle und ästhetische Gesichtspunkte verlangen, je nach Lokalisation und Defektausmaß, ein differenziertes Vorgehen. Der vorliegende Beitrag gibt einen Überblick über Rekonstruktionstechniken und Lappenplastiken an der Hand für verschiedene Defektgrößen und Defektlokalisationen.

Keywords: Hand surgery; Reconstructive surgery; Recovery of function; Soft tissue defects; Surgical flaps.

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References

Literatur

Verwendete Literatur
    1. Mathes SJ, Nahai F (1982) Clinical applications for muscle and musculocutaneous flaps. C. V. Mosby, St. Louis
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    1. Eo S, Doh G, Lim S, Hong KY (2018) Analysis of the risk factors that determine composite graft survival for fingertip amputation. J Hand Surg 43(10):1030–1035 - DOI
    1. Tranquilli-Leali LE (1935) Ricostruzione dell’ apice delle falangi ungueali mediante autoplastica volare peduncolata per scorrimento. Infort Traum Lavoro 1:186–193
    1. Atasoy E, Ioakimidis E, Kasdan M L, Kutz J E, Kleinert H E (1970) Reconstruction of the amputated finger tip with a triangular volar flap. A new surgical procedure. J Bone Joint Surg Am 52(5):921–926 - DOI
Weiterführende Literatur
    1. Strauch B, Vasconez LO, Hall-Findlay EJ, Lee BT (2015) Grabb’s Encyclopedia of Flaps, Bd. 2, Upper Extremities, Torso, Pelvis, and Lower Extremities, 4. Aufl., Wolters Kluwer, Philadelphia
    1. Wilhelm K, Putz R, Hierner R, Giunta RE (1997) Lappenplastiken in der Handchirurgie, Angewandte Anatomie, Operationstechniken, Differentialtherapie, Urban & Schwarzenberg, München, Wien, Baltimore

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