An innervated flap, incorporating supraclavicular nerves, for reconstruction of major hand injuries.
In the treatment of severely degloved hands, an innervated flap provides the best reconstruction in cases where revascularisation is impossible. An innervated flap using the cutaneous territory of the supraclavicular nerves in presented and an illustrative case presented. The anatomy is described and the flap compared with other distant flaps. The principal advantages of this flap are the large amount of available skin and the presence of three or more suitable donor nerves.
D000328:Adult; D002572:Cervical Plexus; D005383:Finger Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D009416:Nerve Regeneration; D012867:Skin / Q000294:innervation; D016038:Skin Transplantation; D013524:Surgical Flaps; D014182:Transplantation, Autologous