Indications for Microvascular Upper Extremity Reconstruction

ABSTRACT

This article defines the optimum choices for soft tissue and bone defects in upper extremity reconstructions. Under certain circumstances, pedicle flaps may be a better choice than microvascular tissue transfer. Some of the pedicle transfers such as the intrinsic hand flaps and pedicled vascularized bone grafts around the wrist require microvascular tissue handling techniques, although a microvascular anastomosis is not specifically performed. Although refinements in pedicle flaps have defined their role in reconstructive upper extremity surgery, many reconstructions could not be performed without microvascular tissue transfer. Specific indications for microvascular upper extremity reconstruction are discussed.

Microvascular upper extremity reconstruction - pedicle transfers - microvascular tissue transfer

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