The treatment of soft tissue defects of the lower and upper limb

2020 ◽  
Vol 65 (5-6) ◽  
pp. 343-344
Author(s):  
W. Hu
Keyword(s):  
Soft Tissue ◽  
Upper Limb ◽  
Soft Tissue Defects ◽  
Tissue Defects

scholarly journals Reconstruction of upper limb soft-tissue defects after sarcoma resection with free flaps: A systematic review

2020 ◽  
Author(s):  
Elena Lucattelli ◽  
Irene Laura Lusetti ◽  
Federico Cipriani ◽  
Alessandro Innocenti ◽  
Giorgio De Santis ◽  
...  
Keyword(s):  
Systematic Review ◽  
Soft Tissue ◽  
Upper Limb ◽  
Free Flaps ◽  
Soft Tissue Defects ◽  
Tissue Defects

scholarly journals A simple method for immobilising the upper limb following groin or abdominal flaps for soft tissue defects in the hand

2004 ◽  
Vol 37 (02) ◽  
pp. 129-130 ◽  
Author(s):  
Jagannath B. Kamath ◽  
Chitta Ranjan Sahu ◽  
Thangam Verghese Joshua
Keyword(s):  
Soft Tissue ◽  
Upper Limb ◽  
Hand Injuries ◽  
Soft Tissue Defects ◽  
Easy Method ◽  
Simple Method ◽  
The Common ◽  
Tissue Defects ◽  
Abdominal Flaps

ABSTRACTAbdominal and groin flaps are the main workhorse for soft tissue defects in hand injuries. A simple and easy method is being described for immobilising the upper limb following abdominal and groin flaps for soft tissue defects of the hand using commonly available clavicular braces. This is devoid of all the problems of immobilisation using the common methods such as adhesive plasters and pin fixators and has its own advantages.

Management of Extensive or Infected Soft Tissue Defects in Upper Limb by Means of Pediculated Omental Flaps

2009 ◽  
Vol 81 (11) ◽  
Author(s):  
Adam Domanasiewicz ◽  
Leszek Kaczmarzyk ◽  
Maciej Paruzel ◽  
Jerzy Jabłecki
Keyword(s):  
Soft Tissue ◽  
Upper Limb ◽  
Soft Tissue Defects ◽  
Tissue Defects

The Free Peroneal Perforator–Based Sural Neurofasciocutaneous Flap: A Novel Tool for Reconstruction of Large Soft-Tissue Defects in the Upper Limb

2011 ◽  
Vol 127 (1) ◽  
pp. 293-302 ◽  
Author(s):  
Chun-Yang Wang ◽  
Yi-Min Chai ◽  
Gen Wen ◽  
Pei-Hua Cai ◽  
Lu-Yuan Sun ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Upper Limb ◽  
Soft Tissue Defects ◽  
Tissue Defects

Blood Supply of the Subcutaneous Tissue of the Upper Limb and its Importance in the Subcutaneous Flap

1987 ◽  
Vol 12 (2) ◽  
pp. 189-193
Author(s):  
A. ZBRODOWSKI ◽  
F. M. MARTY ◽  
R. GÜMENER ◽  
D. MONTANDON
Keyword(s):  
Soft Tissue ◽  
Blood Supply ◽  
Upper Limb ◽  
Subcutaneous Tissue ◽  
Practical Importance ◽  
Soft Tissue Defects ◽  
India Ink ◽  
Subcutaneous Flap ◽  
Tissue Defects ◽  
Gelatine Solution

Vascularization of the subcutaneous tissue of the upper extremity is described. Injection of coloured latex or India ink and gelatine solution showed the principal sources of the blood supply. Microdissection and transclarification of Spalteholz allowed for the study of the direct and indirect arterial branches which form the principal network of the subcutaneous tissue. The findings are of practical importance since the subcutaneous tissue can be used as a separate flap for covering soft tissue defects of the forearm and hand.

Recording Congenital Differences of the Upper Limb

2003 ◽  
Vol 28 (3) ◽  
pp. 205-214 ◽  
Author(s):  
A. J. M. LUIJSTERBURG ◽  
G. J. SONNEVELD ◽  
CHR. VERMEIJ-KEERS ◽  
S. E. R. HOVIUS
Keyword(s):  
Soft Tissue ◽  
Prospective Study ◽  
Upper Limb ◽  
Soft Tissue Defects ◽  
Recording Method ◽  
A Prospective Study ◽  
Tissue Defects

Consistent classification of congenital differences of the upper limb is of paramount importance for the study of the pathogenesis. To overcome the inconsistencies of present classifications, a non-classifying recording method has been developed. This method records individual aberrations, including bone and soft-tissue defects. Between 1996 and 1998, a prospective study was performed to validate the method. Two hundred and thirty-one patients with upper limb differences were assessed, and all individual aberrations were recorded. These data can be transferred to any classification. It is concluded that the presented method will allow consistent grouping of patients without losing details about simple and complex differences.

scholarly journals Patterns of etiologies and soft tissue defects in the upper limb and use of different reconstruction modalities

2016 ◽  
Vol 11 (4) ◽  
Author(s):  
Saeed Ashraf Cheema
Keyword(s):  
Soft Tissue ◽  
Upper Limb ◽  
Primary Closure ◽  
Skin Grafting ◽  
Soft Tissue Coverage ◽  
Local Flaps ◽  
Soft Tissue Defects ◽  
Common Etiology ◽  
Tissue Defects

A total of 48 cases of soft tissue defects of upper limb were managed during one calendar year. This included 34 males and 14 females. Post burn complication was the most common etiology. Ten cases had machine injury while other 6 cases had household trauma. Another group of six cases had injuries during fireworks at various ceremonies. Whereas 17 cases were dealt by simple measures like healing by secondary intension, primary closure and skin grafting, 31 cases needed soft tissue coverage with various flaps. Only ten cases were dealt with the help of local flaps while rest of the 21 cases needed various regional and distant flaps.

scholarly journals Thoracoumbilical Flap: Anatomy, Technique, and Clinical Applications in Upper Limb Reconstruction in the Era of Microvascular Surgery

2018 ◽  
Vol 10 (01) ◽  
pp. 029-036 ◽  
Author(s):  
Ravikiran Naalla ◽  
Moumita De ◽  
Rakesh Dawar ◽  
Shashank Chauhan ◽  
Maneesh Singhal
Keyword(s):  
Soft Tissue ◽  
Upper Limb ◽  
Case Series ◽  
Microvascular Reconstruction ◽  
Soft Tissue Defects ◽  
Pedicled Flaps ◽  
Degloving Injury ◽  
Clinical Scenarios ◽  
Critical Issues ◽  
Tissue Defects

Abstract Purpose Microvascular reconstruction is the standard of care for salvage of soft tissue defects in complex upper extremity due to their distinct advantages over the pedicled flaps. However, in the era of microsurgery, pedicled flaps have an acceptable significant role for reconstruction of complex soft tissue defects. The authors aim to demonstrate the versatility of pedicled thoracoumbilical flap (TUF) in selected clinical scenarios. Patients and Methods Retrospective analysis of patients who underwent TUF for upper limb posttraumatic reconstruction was performed between January 2016 and October 2017. The demographic details, etiology, wound parameters, clinical circumstances, and complications were recorded. Results Ten patients were included in the retrospective case series. Out of them, nine of the patients had critical issues, which justified a pedicled TUF over free flap. The critical issues were severe comorbid illnesses (n = 3), the paucity of recipient vessels (n = 1), salvage of hand replant and revascularization (n = 2), circumferential degloving injury to the multiple fingers and palm (n = 1), coverage for metacarpal hand (n = 1), and extensive scarring at the surgical site (n = 1). Mean age was 34.4 years (range: 11–70 years), six of them were males, and four were females. Two patients had infections resulting in wound gaping. One of the patients had flap tip necrosis. Conclusion Pedicled flaps have a significant acceptable role in this era of microsurgery, and a pedicled TUF is a versatile option for coverage of complex soft tissue defects of the forearm, wrist, hand, and fingers. Level of Evidence This is a level IV, therapeutic, and retrospective study.

scholarly journals Versatility of the Pedicled Latissimus Dorsi Myocutaneous Flap in Reconstruction of Upper Limb and Trunk Soft Tissue Defects

2019 ◽  
Vol 12 (03) ◽  
pp. 168-176
Author(s):  
Ravikiran Naalla ◽  
Sharmistha Bhattacharyya ◽  
Shivangi Saha ◽  
Shashank Chauhan ◽  
Maneesh Singhal
Keyword(s):  
Soft Tissue ◽  
Upper Limb ◽  
Latissimus Dorsi ◽  
Myocutaneous Flap ◽  
Skin Grafting ◽  
Soft Tissue Defects ◽  
Level Of Evidence ◽  
Clinical Scenarios ◽  
Latissimus Dorsi Myocutaneous Flap ◽  
Tissue Defects

Abstract Purpose The purpose of the study was to share our indications, technique, outcome, and complications associated with the pedicled latissimus dorsi myocutaneous flap (LDMF) for reconstructing various upper limb and trunk soft tissue defects. Patients and Methods We reviewed the prospectively collected data of the patients who underwent reconstruction of upper limb/trunk soft tissue defects with pedicled LDMF between January 2016 and March 2019. By analyzing the clinical scenarios, the location of flap inset, the arc of rotation, reach of the flap, and associated complications, we put forward few significant findings from our experience. Results Thirty-four patients were included in the study: 13 of them underwent LDMF for coverage of upper limb defects, 12 of them for postradical mastectomy soft tissue defects, 8 for posterior trunk reconstruction, and 1 for sternal wound infection. LDMF was successfully used to cover the scapula, anterior and posterior arms, axilla, cubital fossa, mid-forearm, breast, sternum, and midline dorsal wounds. When used reversely, the flap could cover the exposed spine in the midline dorsum. Three patients (9%) had major complications (two patients had partial flap necrosis which required additional debridement and skin grafting, and one patient required an additional transpositional flap). Three patients had minor complications (managed nonoperatively). Conclusion Pedicled LDMF is a straightforward and versatile option for reconstruction of the varied upper limb and trunk soft tissue defects with minimal complications. Level of Evidence This is a level IV, therapeutic, retrospective study.

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