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Published in: Archives of Orthopaedic and Trauma Surgery 1/2021

Open Access 01-01-2021 | Hand surgery

Retrospective analysis of free temporoparietal fascial flap for defect reconstruction of the hand and the distal upper extremity

Authors: Wibke Müller-Seubert, Raymund E. Horch, Vanessa Franziska Schmidt, Ingo Ludolph, Marweh Schmitz, Andreas Arkudas

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 1/2021

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Abstract

Introduction

Soft tissue reconstruction of the hand and distal upper extremity is challenging to preserve the function of the hand as good as possible. Therefore, a thin flap has been shown to be useful. In this retrospective study, we aimed to show the use of the free temporoparietal fascial flap in soft tissue reconstruction of the hand and distal upper extremity.

Methods

We analysed the outcome of free temporoparietal fascial flaps that were used between the years 2007and 2016 at our institution. Major and minor complications, defect location and donor site morbidity were the main fields of interest.

Results

14 patients received a free temporoparietal fascial flap for soft tissue reconstruction of the distal upper extremity. Minor complications were noted in three patients and major complications in two patients. Total flap necrosis occurred in one patient.

Conclusion

The free temporoparietal fascial flap is a useful tool in reconstructive surgery of the hand and the distal upper extremity with a low donor site morbidity and moderate rates of major and minor complications.
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Metadata
Title
Retrospective analysis of free temporoparietal fascial flap for defect reconstruction of the hand and the distal upper extremity
Authors
Wibke Müller-Seubert
Raymund E. Horch
Vanessa Franziska Schmidt
Ingo Ludolph
Marweh Schmitz
Andreas Arkudas
Publication date
01-01-2021
Publisher
Springer Berlin Heidelberg
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 1/2021
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-020-03635-9

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