title: Oncologic reconstruction of the hand and upper extremity: Maximizing functional outcomes.
abstract: Upper extremity malignancies have the potential to create significant functional impairment, and as such represent an opportunity for collaborative reconstruction to minimize potential morbidity. Given the increased complexity and array of potential reconstruction solutions, functional limb preservation is overwhelmingly and increasingly successful in appropriately selected patients. The purpose of this review is to familiarize the reader with the general functional considerations of the upper extremity, review major reconstructive options, and present a general algorithm for reconstruction and maintenance of function. J. Surg. Oncol. 2016;113:946-954. © 2016 Wiley Periodicals, Inc.
authors.affiliation: Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
authors.forename: William J
authors.initials: WJ
authors.lastname: Knaus
authors.affiliation: Department of Orthopaedic Surgery, University of Southern California, Keck School of Medicine, Los Angeles, California.
authors.forename: Ram
authors.initials: R
authors.lastname: Alluri
authors.affiliation: Division of Plastic Surgery, Mayo Clinic, Rochester, Minnesota.
authors.forename: Karim
authors.initials: K
authors.lastname: Bakri
authors.affiliation: Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
authors.forename: Matthew L
authors.initials: ML
authors.lastname: Iorio
mesh_terms: D000368:Aged; D000465:Algorithms; D000671:Amputation, Surgical; D001132:Arm / Q000601:surgery*; D003131:Combined Modality Therapy; D005260:Female; D058752:Free Tissue Flaps; D006225:Hand / Q000601:surgery*; D006801:Humans; D023821:Limb Salvage; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000601:surgery*; D010525:Peripheral Nerves / Q000601:surgery; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps; D016896:Treatment Outcome; D055815:Young Adult
keywords: anterior lateral thigh flap; free flap; oncologic reconstruction; upper extremity reconstruction