Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
4066037 | The Journal of Hand Surgery | 2016 | 11 Pages |
Abstract
Soft tissue reconstruction of the upper extremity is a complex topic because every defect has multiple potential solutions. Whereas the often-cited reconstructive ladder advised selection of the simplest reconstruction of the defect, the newer concept of the reconstructive elevator allows freedom to choose a more complex reconstruction to account for specialized function and aesthetic outcome. An algorithm for assessment of the defect is presented and demonstrated in this review, using 6 case examples to highlight key concepts. Representative flaps are presented and a discussion of functional and aesthetic outcomes is undertaken to provide a framework for achieving the patient’s and surgeon’s goals of reconstruction.
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Authors
Erin Anne Miller, Jeffrey Friedrich,