Benanti Elisa, De Santis Giorgio, Leti Acciaro Andrea, Colzani Giulia, Baccarani Alessio, Starnoni Marta
Department of Medical and Surgical Sciences, Division of Plastic Surgery, University of Modena and Reggio Emilia, Policlinico of Modena, Largo Pozzo 71, 41124, Modena, Italy.
Department of Orthopaedics and Traumatology, Division of Hand Surgery and Microsurgery, University of Modena and Reggio Emilia, Policlinico of Modena, Largo Pozzo 71, 41124, Modena, Italy.
Ann Med Surg (Lond). 2020 Nov 6;60:338-343. doi: 10.1016/j.amsu.2020.10.069. eCollection 2020 Dec.
Different opinions about the reconstructive choice for upper limb are described in literature: advancement or rotation flaps, regional flaps and free flaps are the most common reconstructive options. Local and regional flaps can be used to cover small defects while large wounds require the use of free flaps or distant pedicled flaps. The coverage of large wounds opens a discussion about when to use free flaps and when distant pedicled flaps. This review will describe the different methods used for the coverage of soft tissues injuries affecting hand and/or forearm (excluding fingers). The aim is to show all flap reconstructive options in order to support the inexperienced surgeon during the management of traumatic injuries of the upper limb.
推进或旋转皮瓣、局部皮瓣和游离皮瓣是最常见的重建选择。局部和区域皮瓣可用于覆盖小的缺损，而大的伤口则需要使用游离皮瓣或远位带蒂皮瓣。大伤口的覆盖引发了关于何时使用游离皮瓣以及何时使用远位带蒂皮瓣的讨论。本综述将描述用于覆盖影响手部和/或前臂（不包括手指）的软组织损伤的不同方法。目的是展示所有皮瓣重建选择，以便在处理上肢创伤性损伤时为经验不足的外科医生提供支持。
