Immediate tissue transplantation in upper limb trauma: spare parts reconstruction

Chih Hung Lin; Kelli Webb; Michael W Neumeister

doi:10.1016/j.cps.2014.04.003

Immediate tissue transplantation in upper limb trauma: spare parts reconstruction

Clin Plast Surg. 2014 Jul;41(3):397-406. doi: 10.1016/j.cps.2014.04.003.

Authors

Chih Hung Lin¹, Kelli Webb², Michael W Neumeister³

Affiliations

¹ Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Keelung City, Taiwan.
² Institute for Plastic Surgery, Southern Illinois University School of Medicine, Springfield, IL, USA.
³ Institute for Plastic Surgery, Southern Illinois University School of Medicine, Springfield, IL, USA. Electronic address: mneumeister@siumed.edu.

PMID: 24996461
DOI: 10.1016/j.cps.2014.04.003

Abstract

The management of mutilated upper extremity wounds offers challenges for all hand surgeons. Loss of composite tissues usually requires grafts or flaps to gain coverage and restore function. Nonsalvagable digits or amputated parts are a source of spare tissues that can be used for reconstruction of the hand or limb. Immediate tissue transplantation is a resourceful technique for hand surgeons to limit donor morbidity while making the most out of a terrible injury to the hand or upper extremity. This article reviews the various methods by which immediate tissue transplantation can be employed in hand trauma.

Keywords: Fillet; Flap; Graft; Immediate tissue transplantation; Microsurgery; Mutilating hand; Spare parts; Trauma.

Publication types

Review

MeSH terms

Amputation, Traumatic / surgery*
Arm Injuries / surgery*
Humans
Microsurgery / methods*
Plastic Surgery Procedures / methods*
Surgical Flaps*