title: IFSSH scientific committee on skin coverage: 2015 report.
abstract: Skin coverage in hand reconstruction is a challenging and vast chapter in hand surgery; covering every aspect of it in a report is simply not feasible. Therefore, this report focuses on a few specific topics. The coverage of anatomical regions like the fingertips is common ground for hand surgeons worldwide, but in the last 10 years, various refinements have been published in order to optimize the reconstruction of this organ. Nevertheless, in many emergency departments, the amputation of badly injured fingertips, including the thumb, remains the preferred treatment. The main focus of this report is to counter this tendency by providing alternatives to surgeons. Large defects in the fingers involving more than one segment, defects in the palm and in the dorsum of the hand are currently debated in international meetings. The use of skin substitutes vs. the use of extremely refined microsurgical procedures vs. classic island flaps has generated animated discussions, which are also influenced by cultural and socioeconomic factors around the world. This report offers the views of six surgeons from four different countries, in the hope of animating discussions and suggesting new approaches.
authors: Division of Plastic Surgery and Hand Surgery, University Hospital Zurich, Raemistrasse 100, 8091 Zurich, Switzerland. Electronic address: thomas.giesen@usz.ch.
authors: T
authors: T
authors: Giesen
authors: Department of Hand Surgery, University Hospital of Modena, Modena, Italy.
authors: R
authors: R
authors: Adani
authors: Department of Plastic Surgery and Hand Surgery, Nice University Hospital, Nice, France.
authors: S
authors: S
authors: Carmes
authors: Department of Plastic Surgery and Hand Surgery, Nice University Hospital, Nice, France.
authors: C
authors: C
authors: Dumontier
authors: Hand Surgery Department, St Andrew's Centre for Plastic Surgery and Burns, Chelmsford, Essex, UK.
authors: D
authors: D
authors: Elliot
authors: Division of Plastic Surgery and Hand Surgery, University Hospital Zurich, Raemistrasse 100, 8091 Zurich, Switzerland.
authors: M
authors: M
authors: Calcagni
mesh_terms: D026683:Advisory Committees; D000072700:Conservative Treatment / Q000379:methods*; D062109:Dermatologic Surgical Procedures / Q000379:methods*; D005385:Fingers / Q000601:surgery*; D006225:Hand / Q000601:surgery; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods; D013524:Surgical Flaps; D013933:Thumb; D016896:Treatment Outcome
keywords: Couverture cutanée; Finger reconstruction; Flaps; Hand reconstruction; IFSSH report; Lambeaux; Nail reconstruction; Rapport IFSSH; Reconstruction de la main; Reconstruction digitale; Reconstruction unguéale; Skin coverage