Case 99: Mangled Upper Extremity Salvaged with Spatial Frame, Skin Grafts, Radial Lengthening, and Wrist Fusion

2015 ◽  
pp. 683-688
Author(s):  
Daniel Schlatterer
Keyword(s):  
Upper Extremity ◽  
Skin Grafts ◽  
Spatial Frame ◽  
Wrist Fusion

Free Groin Flap Transfer to the Upper Extremity

HAND ◽  
1979 ◽  
Vol os-11 (3) ◽  
pp. 315-320 ◽  
Author(s):  
K. G. Shah ◽  
John C. Garrett ◽  
Harry J. Buncke
Keyword(s):  
Upper Extremity ◽  
Venous Occlusion ◽  
Skin Grafts ◽  
Flap Transfer ◽  
Groin Flap ◽  
Thickness Skin ◽  
Web Space

Seven patients underwent free groin flap transfer to the first web space, palm, wrist or elbow. Six of the seven were successful. The seventh developed acute venous occlusion and superficial necrosis of part of the flap, receiving split thickness skin grafts to salvage the dermal portion. Transfer is offered as an alternative to more conventional flaps for coverage of defects of the upper extremity.

Reconstruction of skin avulsion injuries of the upper extremity with integra® dermal regeneration template and skin grafts in a single-stage procedure

2013 ◽  
Vol 133 (11) ◽  
pp. 1521-1526 ◽  
Author(s):  
Efterpi Demiri ◽  
Antonios Papaconstantinou ◽  
Dimitrios Dionyssiou ◽  
Alexandros Dionyssopoulos ◽  
Katerina Kaidoglou ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Single Stage ◽  
Skin Grafts ◽  
Dermal Regeneration Template ◽  
Dermal Regeneration

scholarly journals A serious complication after forearm replantation caused by a cord tightened on the stump during transportation – a case report

2020 ◽  
Vol 66 (2) ◽  
Author(s):  
Dawid Ciechanowicz ◽  
Joanna Antoniak ◽  
Andrzej Żyluk
Keyword(s):  
Case Report ◽  
Postoperative Complications ◽  
Upper Extremity ◽  
Hand Function ◽  
Skin Grafts ◽  
Injured Part ◽  
Hand Amputation ◽  
Critical Ischaemia ◽  
Muscle Ischaemia ◽  
Hand Replantation

In amputations of an upper extremity, an adequate preservation of the amputated part during its transport to a replantation centre is very important: it needs to be maintained at about 4°C. Providing adequate haemostasis of the extremity stump is also important for the patient’s safety, to avoid bleeding on the journey. The article presents the case of a patient who had sustained a hand amputation at the forearm, in which bleeding from the stump was stopped with a cord that has been tightened on the forearm, 10 cm above the amputation site. Transport for the patient took over 6 h and resulted in a critical ischaemia ofthe forearm stump. Replantation was successfully performed, but an excessive oedema of the ischaemically injured part of the stump developed in the post-operative course, requiring a fasciotomy, resection of the necrotic muscles, following by coverage of the defects with skin grafts. No complications were observed in the replanted part of the forearm, and the prognosis towards recovery of good hand function is moderate, due to the loss of a portion of the forearm muscles.Keywords: hand replantation; postoperative complications; muscle ischaemia; malpractice.

Tissue Expansion for Apert’s Syndactyly

1995 ◽  
Vol 20 (3) ◽  
pp. 327-330 ◽  
Author(s):  
D. ASHMEAD ◽  
P. J. SMITH
Keyword(s):  
Upper Extremity ◽  
Tissue Expansion ◽  
Skin Grafts ◽  
Skin Flaps ◽  
Local Skin ◽  
Retrospective Assessment ◽  
Post Traumatic

Tissue expansion is useful in post-traumatic reconstruction in the upper extremity. Its use has also been proposed in congenital syndactyly. Expanded local skin flaps would in theory provide locally appropriate cover, obviating the need for skin grafts. We report a retrospective assessment of tissue expansion in the management of Apert’s syndactyly. Despite theoretical benefits, tissue expansion significantly increased the required number of operations. The technique was associated with an unacceptable rate of complications, and generated inadequate skin flaps, and web spaces requiring a higher rate of revision than traditional techniques. Despite expectations, tissue expansion for Apert’s syndactyly proved disappointing and is not advocated.

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