Workhorse Flaps for Management of Soft Tissue Defects of the Dorsum of the Hand
Ibrahim, M., AbdelAzeem, K., Sakkr, W., Elsayed, E., Korany, M., Quraney, M. (2023). Workhorse Flaps for Management of Soft Tissue Defects of the Dorsum of the Hand. EKB Journal Management System, 47(1), 29-36. doi: 10.21608/ejprs.2023.284333
Mostafa Ibrahim; Khaled M AbdelAzeem; Wael Sakkr; Emad M Elsayed; Mohamed A Korany; Mohamed R Quraney. "Workhorse Flaps for Management of Soft Tissue Defects of the Dorsum of the Hand". EKB Journal Management System, 47, 1, 2023, 29-36. doi: 10.21608/ejprs.2023.284333
Ibrahim, M., AbdelAzeem, K., Sakkr, W., Elsayed, E., Korany, M., Quraney, M. (2023). 'Workhorse Flaps for Management of Soft Tissue Defects of the Dorsum of the Hand', EKB Journal Management System, 47(1), pp. 29-36. doi: 10.21608/ejprs.2023.284333
Ibrahim, M., AbdelAzeem, K., Sakkr, W., Elsayed, E., Korany, M., Quraney, M. Workhorse Flaps for Management of Soft Tissue Defects of the Dorsum of the Hand. EKB Journal Management System, 2023; 47(1): 29-36. doi: 10.21608/ejprs.2023.284333

Workhorse Flaps for Management of Soft Tissue Defects of the Dorsum of the Hand

The Egyptian Journal of Plastic and Reconstructive Surgery
Article 6, Volume 47, Issue 1, January 2023, Page 29-36  XML PDF (13.82 MB)
Document Type: Original Article
DOI: 10.21608/ejprs.2023.284333
View on SCiNiTO View on SCiNiTO
Authors
Mostafa Ibrahim email 1; Khaled M AbdelAzeem1; Wael Sakkr1; Emad M Elsayed1; Mohamed A Korany2; Mohamed R Quraney3
1The Department of Plastic Surgery, Faculty of Medicine, Beni-Suef University; Egypt
2The Department of General Surgery, Faculty of Medicine, Beni-Suef University; Egypt
3The Department of Plastic Surgery, Beni-Suef Insurance Hospital; Egypt
Abstract
Background: The dorsum of the hand is a very specialized
region with thin and fragile skin characterized by poor subcutaneous
tissue.
Aim and Objectives: The work aimed to introduce methods
of reconstruction of the soft tissue defects of the dorsum of
the hand and wrist with exposed tendons, joints, nerves, and
bones and compare these methods for each region.
Patients and Methods: This prospective clinical study
was carried out on 30 patients who presented with soft tissue
defects of the dorsum of the hand and exposed vital structures.
Patients were treated with dorsum hand reconstruction using
different pedicle flaps, either local, regional, or distant flaps,
from October 2018 to March 2021. Patients will be selected
from the Emergency Unit of The Plastic Surgery Department,
Beni-Suef University and Beni-Suef Medical Insurance
Hospital.
Results: Patient satisfaction raged from 70% to 97%, and
the mean patient satisfaction (Mean ± standard deviation) was
86.73±7.08.
Conclusion: There are multiple options available for the
reconstruction of soft tissue defects of the dorsum of the hand.
The main goal of reconstruction is to provide thin, pliable
skin that permits mobility. The reconstructive strategy depends
on the location and size of the defect, the presence of concomitant
digital defects, the need for staged procedures, and
available resources.
Keywords
Dorsum; Hand; Flap; Reconstruction; Soft tissue defects
References
Xu G., Jianli C. and Ziping J.: Risk factors for pedicled
flap necrosis in hand soft tissue reconstruction: A multivariate
logistic regression analysis. ANZ J. Surg., 88:
127-131, 2018.
2- Adani R.: Dorsal hand coverage. BMC Proceedings, 9
(Suppl 3): A59, 2015.
3- Reynolds M., Kelly D.A., Walker N.J., Crantford C. and
Defranzo A.J.: Use of Integra in the Management of
Complex Hand Wounds from Cancer Resection and Nonburn
Trauma. Hand, 13 (1): 74-79, 2018.
4- Taras J.S., Sapienza A. and Roach J.B.: Acellular dermal
regeneration template for soft tissue reconstruction of the
digits. J. Hand Surg. Am., 35: 415-421, 2010.
5- Rehim S.A., Kowalski E. and Chung K.C.: Enhancing
Aesthetic Outcomes of Soft Tissue Coverage of the Hand.
Plast. Reconstr. Surg., 135 (2): 413e-428e, 2015.
6- He J., Qing L., Wu P., Zhou Z., Yu F., Zhang X. and Tang
J.: Customized reconstruction of complex soft tissue
defects in the upper extremities with variants of double
skin paddle anterolateral, 2021.
7- Gavaskar A.S.: Posterior interosseous artery flap for
resurfacing post-traumatic soft tissue defects of the hand.
Hand, 5: 397-402, 2010.
8- Sami A.M. and Kadry H.M.: Distally Based Axial Pattern
Radial Forearm Flap for Reconstruction of Soft Tissue
Defects of the Hand. Egypt J. Plast. Reconstr. Surg., 37
(1): 119-24, 2013.
9- Naalla R., Chauhan S., Dave A. and Singhal M.: Reconstruction
of post-traumatic upper extremity soft tissue
defects with pedicled flaps: An algorithmic approach to
clinical decision making. Chinese Journal of Traumatology,
21 (6), 2018.
10- Ali A., Farag M. and Safe K.: Reconstruction of Hand
and Forearm Defects by Abdominal Thin Skin Flaps
Egypt, J. Plast. Reconstr. Surg., 31 (2): 181-185. 2007.
11- Karjalainen T. and Jokihaara J.: A review and meta-analysis
of adverse events related to local flap reconstruction for
digital soft tissue defects. Hand Clinics, 36 (1): pp. 107-
121, 2020.
12- Panse N. and Sahasrabudhe P.: Freestyle perforator based
propeller flaps: Simple solutions for upper extremity
reconstruction. Indian J. Plast. Surg., 47: 77-84, 2014.
13- Panse N.S., Joshi S.B., Sahasrabudhe P.B., Bahetee B.,
Gurude P. and Chandanwale A.: The Anterior Interosseus
Artery Perforator Flap: Anatomical Dissections and Clinical
Study. World J. Plast. Surg., 6 (2): 152-158, 2017

Statistics
Article View: 203
PDF Download: 265