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Pubmed for Handhelds

PUBMED FOR HANDHELDS

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  • Title: Ultrathin oblique volar-to-dorsal reverse turnover radial artery perforator-based adipofascial flap: a new surgical strategy for reconstructing a complex dorsal hand tissue defect.
    Author: Al Hoqail R.
    Journal: J Craniofac Surg; 2009 Nov; 20(6):2221-4. PubMed ID: 19884830.
    Abstract:
    BACKGROUND: Adipofascial flaps used in reconstruction of various tissue defects have been described by many authors and have several advantages. METHODS: A clinical report of an extensive dorsal hand traumatic soft tissue injury where a new ultrathin oblique volar-to-dorsal adipofascial reverse turnover flap based on radial artery distal perforators is presented. Its width-to-length ratio was 1:4 (the longest ever reported), designed to cover primary free tendon grafts and exposed metacarpal bones. RESULTS: The technique has provided very good hand function and cosmetic outcome, minimum donor site morbidity, shortened rehabilitation, and no complications. CONCLUSIONS: Adipofascial flaps constitute a functional and an aesthetic refinement in the reconstructive surgical techniques managing complex tissue defects of the dorsum of the hand, a new surgical strategy reported here.
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