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Soft tissue anatomy for hand flaps

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Vaikunthan Rajaratnam
Vaikunthan Rajaratnam

Skin flaps in the hand their anatomy and the use in upper limb reconstruction.

Healthcare
1 of 28
Soft tissue anatomy Flaps in the hand Vaikunthan Rajaratnam @handsurgeryinternational
Evolution of flap
Perforator Flaps Koshima I, Soeda S. Inferior epigastric artery skin flaps without rectus abdominis muscle. Br J Plast Surg. 1989;42:645–8. Septocutaneous perforators: Musculocutaneous perforators
Types of perforator flaps
Elevation of perforator flap
Flap advancement β€’ Preoperative Doppler β€’ Outline flap β€’ Cover the defect β€’ Donor site closed directly
Reversed flow radial artery flap
Ulnar Artery Perforator Flap
Posterior Interosseous Artery Perforator Flap
Posterolateral Mid-Forearm Perforator Flap
Dorsal Metacarpal Artery Perforator Flaps
Digital Artery Perforator Flap

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