Case Reports: PDF OnlyCase Report: Sequential Vascular Connection of Free Flaps in the Upper ExtremityDzwierzynski, William W. MD; Sanger, James R. MD; Yousif, N John MD; Matloub, Hani S. MD Author Information From the Department of Plastic and Reconstructive Surgery, Medical College of Wisconsin, Milwaukee, WI. Annals of Plastic Surgery 39(3):p 303-307, September 1997. Buy Abstract Devastating hand injuries often require multiple microvascular reconstructions. We report a patient in whom two flaps were used for late reconstruction of a devastating hand injury involving devascularization of the right hand, severely comminuted fractures of the hand and forearm, and multiple tendon avulsions. We believe the sequential vascular connection of free flaps offers the best method of reconstruction in this severe case, allowing composite tissue transfer, monitoring of the osseous flap, and optimal positioning of the two free tissue transfers. © Williams & Wilkins 1997. All Rights Reserved.
