Search our Database of Scientific Publications and Authors

I’m looking for a

    Details and Download Full Text PDF:
    Soft Tissue Reconstruction of Complete Circumferential Defects of the Upper Extremity.

    Arch Plast Surg 2017 Mar 15;44(2):117-123. Epub 2017 Mar 15.
    Division of Plastic Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
    Background: Upper extremity soft tissue defects with complete circumferential involvement are not common. Coupled with the unique anatomy of the upper extremity, the underlying etiology of such circumferential soft tissue defects represent additional reconstructive challenges that require treatment to be tailored to both the patient and the wound. The aim of this study is to review the various options for soft tissue reconstruction of complete circumferential defects in the upper extremity.

    Methods: A literature review of PubMed and MEDLINE up to December 2016 was performed. The current study focuses on forearm and arm defects from the level at or proximal to the wrist and were assessed based on Tajima's classification (J Trauma 1974). Data reviewed for analysis included patient demographics, causality, defect size, reconstructive technique(s) employed, and postoperative follow-up and functional outcomes (when available).

    Results: In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, 14 unique articles were identified for a total of 50 patients (mean=28.1 years). Underlying etiologies varied from extensive thermal or electrical burns to high impact trauma leading to degloving or avulsion, crush injuries, or even occur iatrogenically after tumor extirpation or extensive debridement. Treatment options ranged from the application of negative pressure wound dressings to the opposite end of the spectrum in hand transplantation.

    Conclusions: With the evolution of reconstructive techniques over time, the extent of functional and aesthetic rehabilitation of these complex upper extremity injuries has also improved. The proposed management algorithm comprehensively addresses the inherent challenges associated with these complex cases.
    PDF Download - Full Text Link
    ( Please be advised that this article is hosted on an external website not affiliated with
    Source Status ListingPossible

    Similar Publications

    [Management of severe soft-tissue trauma in the upper extremity - shoulder, upper and lower arm].
    Oper Orthop Traumatol 2010 May;22(2):196-211
    Abteilung für Unfall- und Wiederherstellungschirurgie, Chirurgische Klinik und Poliklinik, Universität Rostock.
    Objective: Salvage of the respective extremity. Standardized approach to adequate soft-tissue coverage (isolated severe soft-tissue trauma) and preconditioning for fracture healing (in complex trauma) as a basis for functional restoration. Limitation of secondary soft-tissue loss. Read More
    Soft tissue coverage of the upper extremity: an overview.
    Hand Clin 2014 Nov 11;30(4):459-73, vi. Epub 2014 Sep 11.
    Division of Plastic Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address:
    Prehension is a complex function of the hand that gives it mechanical precision combined with a standard sensory pattern. The priority in soft tissue reconstruction for the upper extremity is to restore function. Significant injury to the upper extremity may result after trauma because of various etiologies. Read More
    [Vacuum assisted closure (V.A.C.) therapy is an essential tool for treatment of complex defect injuries of the upper extremity].
    Zentralbl Chir 2006 Apr;131 Suppl 1:S7-12
    Abteilung für Plastische und Handchirurgie, Chirurgische Universitätsklinik, Universitätsklinikum Erlangen.
    Introduction: Complex injuries of the upper extremity remain a therapeutic challenge. The prognosis of the damaged extremity is often limited by soft tissue defects. Vacuum Assisted Closure (V. Read More
    [Complex injury of the elbow joint].
    Unfallchirurg 1996 Feb;99(2):92-99
    Unfallchirurgische Klinik, Medizinische Hochschule Hannover.
    High-velocity trauma now often results in complex injuries to the upper extremity, and especially the elbow joint. These can lead to both an enormous reduction in the range of motion of the shoulder, elbow and wrist joints, in severe cases with complete loss of upper extremity function. A complex injury is defined as a fracture and/or dislocation of the elbow in association with (1) a serial injury of the upper extremity, (2) a severe soft tissue trauma, or (3) concomitant injury to vessels or nerves. Read More