The Experts below are selected from a list of 303 Experts worldwide ranked by ideXlab platform
Marco Innocenti - One of the best experts on this subject based on the ideXlab platform.
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Hand Reconstruction using the thin anterolateral thigh flap
Plastic and Reconstructive Surgery, 2005Co-Authors: Roberto Adani, Luigi Tarallo, Ignazio Marcoccio, Riccardo Cipriani, Chiara Gelati, Marco InnocentiAbstract:Background: Perforator flaps have been introduced for various kinds of Reconstruction and resurfacing; in particular, the free thin anterolateral thigh flap is becoming one of the most preferred options for Reconstruction of soft-tissue defects. Methods: Between 1999 and 2002, the authors used this flap as a free flap for nine cases for covering Hand defects after burn, crushing injuries, or severe scar contracture release. There were eight men and one woman, the mean age of the patients was 31 years, and the size of the flaps ranged from 7 X 3.5 cm to 15 × 9 cm; thinning was performed in all flaps. Results: All flaps survived completely, and the donor site was closed directly in seven cases; in two cases, the exposed muscle was covered with split-thickness skin graft Conclusions: The anterolateral thigh flap was thin enough for defects on the dorsum and/ or palm of the Hand and for first web Reconstruction after scar contracture release. It has many advantages in free flap surgery including a long pedicle with a suitable vessel diameter, and the donor-site morbidity is acceptable. The thin anterolateral thigh flap is a versatile soft-tissue flap that achieves good Hand contour with low donor-site morbidity. (Plast.
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Hand Reconstruction using the thin anterolateral thigh flap.
Plastic and reconstructive surgery, 2005Co-Authors: Roberto Adani, Luigi Tarallo, Ignazio Marcoccio, Riccardo Cipriani, Chiara Gelati, Marco InnocentiAbstract:Perforator flaps have been introduced for various kinds of Reconstruction and resurfacing; in particular, the free thin anterolateral thigh flap is becoming one of the most preferred options for Reconstruction of soft-tissue defects. Between 1999 and 2002, the authors used this flap as a free flap for nine cases for covering Hand defects after burn, crushing injuries, or severe scar contracture release. There were eight men and one woman, the mean age of the patients was 31 years, and the size of the flaps ranged from 7 x 3.5 cm to 15 x 9 cm; thinning was performed in all flaps. All flaps survived completely, and the donor site was closed directly in seven cases; in two cases, the exposed muscle was covered with split-thickness skin graft. The anterolateral thigh flap was thin enough for defects on the dorsum and/or palm of the Hand and for first web Reconstruction after scar contracture release. It has many advantages in free flap surgery including a long pedicle with a suitable vessel diameter, and the donor-site morbidity is acceptable. The thin anterolateral thigh flap is a versatile soft-tissue flap that achieves good Hand contour with low donor-site morbidity.
Roberto Adani - One of the best experts on this subject based on the ideXlab platform.
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Hand Reconstruction using the thin anterolateral thigh flap
Plastic and Reconstructive Surgery, 2005Co-Authors: Roberto Adani, Luigi Tarallo, Ignazio Marcoccio, Riccardo Cipriani, Chiara Gelati, Marco InnocentiAbstract:Background: Perforator flaps have been introduced for various kinds of Reconstruction and resurfacing; in particular, the free thin anterolateral thigh flap is becoming one of the most preferred options for Reconstruction of soft-tissue defects. Methods: Between 1999 and 2002, the authors used this flap as a free flap for nine cases for covering Hand defects after burn, crushing injuries, or severe scar contracture release. There were eight men and one woman, the mean age of the patients was 31 years, and the size of the flaps ranged from 7 X 3.5 cm to 15 × 9 cm; thinning was performed in all flaps. Results: All flaps survived completely, and the donor site was closed directly in seven cases; in two cases, the exposed muscle was covered with split-thickness skin graft Conclusions: The anterolateral thigh flap was thin enough for defects on the dorsum and/ or palm of the Hand and for first web Reconstruction after scar contracture release. It has many advantages in free flap surgery including a long pedicle with a suitable vessel diameter, and the donor-site morbidity is acceptable. The thin anterolateral thigh flap is a versatile soft-tissue flap that achieves good Hand contour with low donor-site morbidity. (Plast.
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Hand Reconstruction using the thin anterolateral thigh flap.
Plastic and reconstructive surgery, 2005Co-Authors: Roberto Adani, Luigi Tarallo, Ignazio Marcoccio, Riccardo Cipriani, Chiara Gelati, Marco InnocentiAbstract:Perforator flaps have been introduced for various kinds of Reconstruction and resurfacing; in particular, the free thin anterolateral thigh flap is becoming one of the most preferred options for Reconstruction of soft-tissue defects. Between 1999 and 2002, the authors used this flap as a free flap for nine cases for covering Hand defects after burn, crushing injuries, or severe scar contracture release. There were eight men and one woman, the mean age of the patients was 31 years, and the size of the flaps ranged from 7 x 3.5 cm to 15 x 9 cm; thinning was performed in all flaps. All flaps survived completely, and the donor site was closed directly in seven cases; in two cases, the exposed muscle was covered with split-thickness skin graft. The anterolateral thigh flap was thin enough for defects on the dorsum and/or palm of the Hand and for first web Reconstruction after scar contracture release. It has many advantages in free flap surgery including a long pedicle with a suitable vessel diameter, and the donor-site morbidity is acceptable. The thin anterolateral thigh flap is a versatile soft-tissue flap that achieves good Hand contour with low donor-site morbidity.
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Island radial artery fasciotendinous flap for dorsal Hand Reconstruction.
Annals of plastic surgery, 2001Co-Authors: Roberto Adani, Luigi Tarallo, Ignazio MarcoccioAbstract:The authors report a one-stage repair for a dorsal Hand injury that involves the loss of skin and tendons. The injury was repaired using an island radial artery flap complete with fascia and tendons, leaving the forearm skin behind. The functional and aesthetic results are excellent, and there was minimal donor site morbidity.
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Dorsalis pedis flap with vascularized extensor tendons for dorsal Hand Reconstruction
Plastic and reconstructive surgery, 1993Co-Authors: A. Caroli, Roberto Adani, C. Castagnetti, Pancaldi GAbstract:We describe three cases of combined loss of skin and tendons on the dorsum of the Hand treated with the use of cutaneotendinous dorsalis pedis free flap. The functional and aesthetic results are excellent in the Hand and aesthetically acceptable in the foot. This technique is the first choice when the treatment of these injuries requires three or four tendon grafts.
Fu-chan Wei - One of the best experts on this subject based on the ideXlab platform.
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The medial sural artery perforator flap: a versatile donor site for Hand Reconstruction.
The Journal of trauma, 2011Co-Authors: Cheng-hung Lin, Chih-hung Lin, Yu-te Lin, Chung-chen Hsu, Fu-chan WeiAbstract:Background:The challenge of modern Hand Reconstruction goes beyond simple coverage. Thanks to the advances of microsurgery, there are ever-improving standards of functional and esthetic outcomes in Hand Reconstruction. The versatile donor site of the medial sural artery perforator flap can fulfill t
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The Distally Based Forearm Island Flap in Hand Reconstruction
Plastic and reconstructive surgery, 1998Co-Authors: Seng-feng Jeng, Fu-chan WeiAbstract:The distally based forearm island flap is vascularized by the perforators of the distal radial artery. The skin flap is along the axis of the radial artery, and the pivot point of its subcutaneous pedicle is about 2 to 4 cm above the radial styloid process. We have treated 12 patients with 12 flaps for soft-tissue defects of the Hand. Of these recipient sites, seven were in dorsal Hands, two were in thumbs, two were in forearms, and one was in the palmar area. The donor-tissue variants included eight skin flaps, two adipofascial flaps, and two sensate flaps. The sizes of the flaps ranged from 6 x 4 cm to 14 x 6 cm. The donor site wound could be closed primarily in five patients. Two sensate flaps, innervated by the lateral antebrachial cutaneous nerve, could provide sensation for thumb Reconstruction. The advantage of this flap is its constant and reliable blood supply without sacrifice of the main radial artery. The elevation of the flap is simple and rapid. There is the potential that this flap can be used as an innervated flap, and there is no need of microsurgical technique.
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Single third-toe transfer in Hand Reconstruction
The Journal of hand surgery, 1995Co-Authors: Fu-chan Wei, Kenneth K. YimAbstract:Eighteen third-toe transfers to the Hand were performed from 1984 to 1993 in 15 patients. These patients had multiple amputations, and follow-up ranged from 5 to 78 months with an average of 27 months. Single third-toe-to-Hand transfer was elected when (1) the second toe was not available or not suitable for transfer, (2) the second toe was located in the same foot where the great toe had been transferred to the thumb and the second toe was, therefore, spared for gait, or (3) the third toe was a better size match.
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Single third-toe transfer in Hand Reconstruction. Commentary
Journal of Hand Surgery (European Volume), 1995Co-Authors: Fu-chan Wei, Kenneth K. Yim, N. F. JonesAbstract:Eighteen third-toe transfers to the Hand were performed from 1984 to 1993 in 15 patients. These patients had multiple amputations, and follow-up ranged from 5 to 78 months with an average of 27 months. Single third-toe-to-Hand transfer was elected when (1) the second toe was not available or not suitable for transfer, (2) the second toe was located in the same foot where the great toe had been transferred to the thumb and the second toe was, therefore, spared for gait, or (3) the third toe was a better size match
Kenneth K. Yim - One of the best experts on this subject based on the ideXlab platform.
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Single third-toe transfer in Hand Reconstruction
The Journal of hand surgery, 1995Co-Authors: Fu-chan Wei, Kenneth K. YimAbstract:Eighteen third-toe transfers to the Hand were performed from 1984 to 1993 in 15 patients. These patients had multiple amputations, and follow-up ranged from 5 to 78 months with an average of 27 months. Single third-toe-to-Hand transfer was elected when (1) the second toe was not available or not suitable for transfer, (2) the second toe was located in the same foot where the great toe had been transferred to the thumb and the second toe was, therefore, spared for gait, or (3) the third toe was a better size match.
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Single third-toe transfer in Hand Reconstruction. Commentary
Journal of Hand Surgery (European Volume), 1995Co-Authors: Fu-chan Wei, Kenneth K. Yim, N. F. JonesAbstract:Eighteen third-toe transfers to the Hand were performed from 1984 to 1993 in 15 patients. These patients had multiple amputations, and follow-up ranged from 5 to 78 months with an average of 27 months. Single third-toe-to-Hand transfer was elected when (1) the second toe was not available or not suitable for transfer, (2) the second toe was located in the same foot where the great toe had been transferred to the thumb and the second toe was, therefore, spared for gait, or (3) the third toe was a better size match
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Use of intercostal nerves as nerve grafts in Hand Reconstruction with rectus abdominis flaps
The Journal of hand surgery, 1994Co-Authors: Kenneth K. Yim, Kenneth Hui, Douglas Ramos, William C. LineaweaverAbstract:Following complex crush and avulsion Hand injuries with significant tissue loss and exposed vital structures, microvascular tissue transplantation can reliably provide soft tissue coverage in one setting. Rectus abdominis muscle free flaps are frequently used in Hand Reconstruction because of the ease of dissection, low donor site morbidity, reliable, large diameter vessels for anastomosis, and supine positioning of the patient, allowing two teams of surgeons to work simultaneously reducing the operative time.’ Because of the segmental innervation of the rectus muscle, it is not used for functional transplantation, and the innervating intercostal nerves are routinely sacrificed during harvesting of muscle. We propose that the intercostal nerves within the rectus sheath can be used for primary nerve grafting in complicated Hand injuries when soft tissue loss requires rectus muscle free flaps for coverage and nerve grafting is attempted within the injury.
Luigi Tarallo - One of the best experts on this subject based on the ideXlab platform.
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Hand Reconstruction using the thin anterolateral thigh flap
Plastic and Reconstructive Surgery, 2005Co-Authors: Roberto Adani, Luigi Tarallo, Ignazio Marcoccio, Riccardo Cipriani, Chiara Gelati, Marco InnocentiAbstract:Background: Perforator flaps have been introduced for various kinds of Reconstruction and resurfacing; in particular, the free thin anterolateral thigh flap is becoming one of the most preferred options for Reconstruction of soft-tissue defects. Methods: Between 1999 and 2002, the authors used this flap as a free flap for nine cases for covering Hand defects after burn, crushing injuries, or severe scar contracture release. There were eight men and one woman, the mean age of the patients was 31 years, and the size of the flaps ranged from 7 X 3.5 cm to 15 × 9 cm; thinning was performed in all flaps. Results: All flaps survived completely, and the donor site was closed directly in seven cases; in two cases, the exposed muscle was covered with split-thickness skin graft Conclusions: The anterolateral thigh flap was thin enough for defects on the dorsum and/ or palm of the Hand and for first web Reconstruction after scar contracture release. It has many advantages in free flap surgery including a long pedicle with a suitable vessel diameter, and the donor-site morbidity is acceptable. The thin anterolateral thigh flap is a versatile soft-tissue flap that achieves good Hand contour with low donor-site morbidity. (Plast.
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Hand Reconstruction using the thin anterolateral thigh flap.
Plastic and reconstructive surgery, 2005Co-Authors: Roberto Adani, Luigi Tarallo, Ignazio Marcoccio, Riccardo Cipriani, Chiara Gelati, Marco InnocentiAbstract:Perforator flaps have been introduced for various kinds of Reconstruction and resurfacing; in particular, the free thin anterolateral thigh flap is becoming one of the most preferred options for Reconstruction of soft-tissue defects. Between 1999 and 2002, the authors used this flap as a free flap for nine cases for covering Hand defects after burn, crushing injuries, or severe scar contracture release. There were eight men and one woman, the mean age of the patients was 31 years, and the size of the flaps ranged from 7 x 3.5 cm to 15 x 9 cm; thinning was performed in all flaps. All flaps survived completely, and the donor site was closed directly in seven cases; in two cases, the exposed muscle was covered with split-thickness skin graft. The anterolateral thigh flap was thin enough for defects on the dorsum and/or palm of the Hand and for first web Reconstruction after scar contracture release. It has many advantages in free flap surgery including a long pedicle with a suitable vessel diameter, and the donor-site morbidity is acceptable. The thin anterolateral thigh flap is a versatile soft-tissue flap that achieves good Hand contour with low donor-site morbidity.
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Island radial artery fasciotendinous flap for dorsal Hand Reconstruction.
Annals of plastic surgery, 2001Co-Authors: Roberto Adani, Luigi Tarallo, Ignazio MarcoccioAbstract:The authors report a one-stage repair for a dorsal Hand injury that involves the loss of skin and tendons. The injury was repaired using an island radial artery flap complete with fascia and tendons, leaving the forearm skin behind. The functional and aesthetic results are excellent, and there was minimal donor site morbidity.
