[Fresh post-traumatic soft tissue defects of the wrist joint and hand and their closure].

As a universal human tool the hand often suffers injuries of its soft tissue. Different localization of defects (palmar and dorsal) and different injuries of functional structures (tendon, nerve, vessel, bone) also need different soft tissue cover and wound closure. The possibilities in plastic surgery of the hand include free transplantation of skin, local and distant flaps, free flaps and neurovascular flaps.