Summary: Adequate soft-tissue coverage of the hand is paramount to achieve optimal aesthetic and functional results in patients with complex hand defects. In this article, the authors present four illustrative clinical cases and discuss potential reconstructive modalities. For each scenario, two surgical options are discussed: one established and one nontraditional method of reconstruction. The authors’ preferred method and technical pearls for execution are presented.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, V.
Boston, Mass.; Palo Alto, Calif.; Dallas, Texas; and Rochester, Minn.
From the Division of Plastic Surgery, Massachusetts General Hospital, Harvard Medical School; the Division of Plastic and Reconstructive Surgery, Stanford University School of Medicine; the Department of Plastic Surgery, University of Texas Southwestern Medical School; the Division of Plastic Surgery, Mayo Clinic; and the Department of Plastic and Oral Surgery, Boston Children’s Hospital, Harvard Medical School.
Received for publication March 11, 2013; accepted April 2, 2013.
Disclosure: None of the authors has a financial interest in any of the products or devices mentioned in this article.
Amir H. Taghinia, M.D., Harvard Medical School, Department of Plastic Surgery, Children’s Hospital of Boston, 300 Longwood Avenue, Boston, Mass. 02115, firstname.lastname@example.org