title: Local flaps of the hand.
abstract: A local flap consists of skin and subcutaneous tissue that is harvested from a site near a given defect while maintaining its intrinsic blood supply. Local skin flaps can be a used as a reliable source of soft tissue replacement that replaces like with like. Flaps are categorized based on composition, method of transfer, flap design, and blood supply, but flap circulation is considered the most critical factor for the flap survival. This article reviews the classification of local skin flaps of the hand and offers a practical reconstructive approach for several soft tissue defects of the hand and digits.
authors.affiliation: Section of Plastic Surgery, Department of Surgery, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5340, USA.
authors.forename: Shady A
authors.initials: SA
authors.lastname: Rehim
authors.affiliation: Section of Plastic Surgery, University of Michigan Medical School, University of Michigan Health System, 2130 Taubman Center, SPC 5340, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5340, USA. Electronic address: kecchung@med.umich.edu.
authors.forename: Kevin C
authors.initials: KC
authors.lastname: Chung
mesh_terms: D006085:Graft Survival; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply / Q000294:innervation
keywords: Hand flaps; Reconstruction; Soft tissue coverage
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