title: Microsurgical soft tissue and bone transfers in complex hand trauma.
abstract: Treatment of complex hand trauma includes adequate debridement of nonviable tissue, early reconstruction, and careful selection of various available surgical procedures tailored to patients' needs and requests. Debridement of all necrotic tissue is crucial before any attempt at reconstruction. Surgeons should also consider cosmetic outcomes of the reconstructed hand and donor-site morbidity. For best results reconstruction should be performed early, with proper early postoperative therapy. This article reviews the principles and surgical options in the management of complex hand injuries involving the dorsal and the palmar aspects of the hand, and the different types of tissue in the hand.
authors.affiliation: Department of Hand Surgery and Microsurgery, University Hospital of Verona, Policlinico GB Rossi, Piazzale LA Scuro 10, Verona 37126, Italy. Electronic address: roberto.adani@ospedaleuniverona.it.
authors.forename: Roberto
authors.initials: R
authors.lastname: Adani
authors.affiliation: Department of Orthopedic Surgery, University of Modena and Reggio Emilia, Policlinico, Largo del Pozzo 71, Modena 41100, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Tarallo
authors.affiliation: Department of Hand Surgery, Ospedale dei Pellegrini, Via Portamedina alla Pignasecca 41, Naples 80134, Italy.
authors.forename: Armando Fonzone
authors.initials: AF
authors.lastname: Caccese
authors.affiliation: Department of Plastic and Microsurgery, Careggi University Hospital, Palagi 1, Florence 50139, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Delcroix
authors.affiliation: Department of Hand Surgery and Microsurgery, University Hospital of Verona, Policlinico GB Rossi, Piazzale LA Scuro 10, Verona 37126, Italy.
authors.forename: Etienne
authors.initials: E
authors.lastname: Cardin-Langlois
authors.affiliation: Department of Plastic and Microsurgery, Careggi University Hospital, Palagi 1, Florence 50139, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Innocenti
mesh_terms: D058752:Free Tissue Flaps; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008866:Microsurgery / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D017695:Soft Tissue Injuries / Q000601:surgery*
keywords: Composite tissue loss; Fascioseptocutaneous flap; Hand reconstruction; Hand trauma; Microsurgery; Vascularized bone graft