title: Refinements and secondary surgery after flap reconstruction of the traumatized hand.
abstract: The traumatized hand often has soft tissue loss requiring flap reconstruction. Before proceeding with flap selection, the need for future refinement and secondary surgery should be taken into consideration. Although muscle flaps may offer better contour, fasciocutaneous flaps allow easier secondary flap elevation. After the initial flap reconstruction, indications for secondary procedures may be managed according to tissue type: bone, joint, tendon, nerve, and soft tissue.
authors.affiliation: Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, 770 Welch Road, Suite 400, Stanford, CA 94304, USA; VA Palo Alto Division of Plastic and Reconstructive Surgery, VA Palo Alto, 3801 Miranda Avenue, Building 100, Room F4-241, Palo Alto, CA 94304, USA.
authors.forename: Grace J
authors.initials: GJ
authors.lastname: Chiou
authors.affiliation: Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, 770 Welch Road, Suite 400, Stanford, CA 94304, USA; Plastic and Hand Surgery Laboratory, Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue, Palo Alto, CA 94304, USA. Electronic address: jameschang@stanford.edu.
authors.forename: James
authors.initials: J
authors.lastname: Chang
mesh_terms: D005205:Fascia / Q000637:transplantation; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D018482:Muscle, Skeletal / Q000637:transplantation; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation; D016038:Skin Transplantation / Q000379:methods; D017695:Soft Tissue Injuries / Q000601:surgery; D013524:Surgical Flaps
keywords: Flap reconstruction; Functional refinements; Secondary flap elevation; Secondary procedures; Traumatized hand