Abstract
The authors discuss the use of scavenged tissue for reconstruction of an injured limb,
also referred to as “spare-part surgery.” It forms an important part of overall reconstructive
strategy. Though some principles can be laid down, there is no “textbook” method for
the surgeon to follow. Successful application of this strategy requires understanding
of the concept, accurate judgment, and the ability to plan “on-the-spot,” as well
as knowledge and skill to improvise composite flaps from nonsalvageable parts. Requirements
for limb reconstruction vary from simple solutions such as tissue coverage, which
include skin grafts or flaps to more complex planning as in functional reconstruction
of the hand, where the functional importance of individual digits as well as the overall
prehensile function of the hand needs to be addressed right from the time of primary
surgery.
The incorporation of the concept of spare-part surgery allows the surgeon to carry
out primary reconstruction of the limb without resorting to harvest tissue from other
regions of the body.
Keywords
spare parts - microsurgery - reconstruction - replantation - trauma
