Witt Mathias, Altintas Mehmet A
Klinik für Plastische und Ästhetische Chirurgie/Handchirurgie, St. Rochus Hospital, Castrop-Rauxel, Deutschland.
Institut für Ethik, Geschichte und Theorie der Medizin, Ludwig-Maximilians-Universität, Lessingstr. 2, 80336, München, Deutschland.
Unfallchirurg. 2021 Oct;124(10):789-796. doi: 10.1007/s00113-021-01077-5. Epub 2021 Sep 17.
From a reconstructive viewpoint, injuries of the hand are particularly challenging. They are often associated with exposed tendons, bones, nerves and vessels, whereas little skin and soft tissue reserves are available for coverage. Functional and esthetic requirements necessitate a differentiated approach, depending on the location and extent of the defect. This article gives an overview of reconstruction techniques and flap surgery on the hand for various defect sizes and locations.
从重建的角度来看，手部损伤极具挑战性。这些损伤常常伴有肌腱、骨骼、神经和血管外露，而可供覆盖的皮肤和软组织储备却很少。根据缺损的部位和范围，功能和美观需求需要采用差异化的方法。本文概述了针对手部不同缺损大小和部位的重建技术及皮瓣手术。
