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

Language
en
Document Type
Article
Issue Date
2023-05-24
First published
2021-01-01
Issue Year
2021
Authors
Müller-Seubert, Wibke
Horch, Raymund E.
Schmidt, Vanessa Franziska
Ludolph, Ingo
Schmitz, Marweh
Arkudas, Andreas
Editor
Publisher
Springer Berlin Heidelberg
Abstract

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.
Journal Title
Archives of Orthopaedic and Trauma Surgery
Volume
141
Issue
1
Citation

Archives of Orthopaedic and Trauma Surgery 141.1 (2021): 165-171. https://link.springer.com/article/10.1007/s00402-020-03635-9

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