title: Free flap choice for soft tissue reconstruction of the severely damaged upper extremity.
abstract: Reconstruction of complex wounds of the hand associated with severe bone, tendon, nerve and soft-tissue injuries has been a major problem in hand surgery. Early definitive soft-tissue coverage of this kind of extensive wound with well-vascularized tissue is one of the most important stages of reconstruction for salvage of the extremity and restoration of function. Although multiple free flap donor sites have been described for complex upper extremity wounds, the authors think that anterolateral thigh (ALT) and lateral arm (LA) flaps are good choices for soft-tissue reconstruction in the upper extremity because of their reconstructive characteristics. These flaps can be used as flow-through and also sensate flaps. There is no need for position change intraoperatively and two teams may work simultaneously. Donor sites can be hidden and there is no required sacrifice of major artery or muscle.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Kartal Dr. Lütfü Kirdar Education And Research Hospital, Istanbul, Turkey.
authors.forename: Serkan
authors.initials: S
authors.lastname: Yildirim
authors.forename: Gaye
authors.initials: G
authors.lastname: Taylan
authors.forename: Güniz
authors.initials: G
authors.lastname: Eker
authors.forename: Tayfun
authors.initials: T
authors.lastname: Aköz
mesh_terms: D000293:Adolescent; D000328:Adult; D005206:Fascia Lata / Q000637:transplantation; D005260:Female; D005543:Forearm Injuries / Q000601:surgery*; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps