ArticleChinese journal of traumatology = Zhonghua chuang shang za zhi2018
Reconstruction of post-traumatic upper extremity soft tissue defects with pedicled flaps: An algorithmic approach to clinical decision making.
Article in Chinese journal of traumatology = Zhonghua chuang shang za zhi, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Saving Hands in Times of War in Conflict Zones with Limited Resources: A Cohort Study from Sudan.Plastic and reconstructive surgery. Global open · 2026Article
- Outcomes of Thin Groin Flaps for Hand and Finger Reconstruction: A Mixed Retrospective-Prospective Study.Cureus · 2026Article
- Use of the Groin Flap in Traumatic Hand Injuries.Revista brasileira de ortopedia · 2025Article
- Multicenter retrospective analysis of success and failure patterns in groin flap reconstruction for upper extremity soft tissue defects.Future science OA · 2025Article
- [Use of the Groin Flap in Traumatic Hand Injuries].Revista brasileira de ortopedia · 2025Article
- Evaluating Pedicled Groin Flap Reconstruction in Hand Degloving Injuries: A Retrospective Analysis.Journal of hand surgery global online · 2025Article
- The Thoracoepigastric Flap: An Effective Reconstructive Method for Large Upper Extremity Defects in Low- and Middle-income Countries-A Single-center Study.Plastic and reconstructive surgery. Global open · 2025Article
- Groin Flap Reconstruction for Finger Defects: A Case Series and Analysis of Clinical Outcomes.Plastic and reconstructive surgery. Global open · 2025Article
- Local or regional flaps in developing country: Experience from Eastern Bhutan.International wound journal · 2024Article
- Delayed Abdominal Flap for Upper Extremity Soft Tissue Coverage.Plastic and reconstructive surgery. Global open · 2024Article
- A treatment algorithm for reconstruction of soft tissue defects in the hand: a narrative review.Annals of translational medicine · 2023Review
- Multistage Reconstruction of Large Arm Defect Using Keystone Type I Flap and Temporary Synthetic Skin Substitute.Plastic and reconstructive surgery. Global open · 2023Article
- Article
- Surgical treatment results in patients with defects of the integumentary tissues of the trunk and limbs of mechanical origin.Journal of medicine and life · 2022Article
- Resurfacing of a Degloved Finger With a Reverse Radial Adipofascial Forearm Flap.Journal of hand surgery global online · 2022Article
- Management of Complex Upper Extremity Trauma with Associated Vascular Injury.Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India · 2022Article
- Upper limb traumatic injuries: A concise overview of reconstructive options.Annals of medicine and surgery (2012) · 2021Review
- Soft tissue coverage of the upper limb: A flap reconstruction overview.Annals of medicine and surgery (2012) · 2020Review
- Two Perforators Improve the Extent and Reliability of Paraumbilical Flaps for Upper Limb Reconstruction.World journal of plastic surgery · 2020Article
- Soft Tissue Reconstruction of Upper Limb Injuries in Southwestern Nigeria: Methods and Outcome.Journal of the West African College of SurgeonsArticle
Corrections and comments
- Erratum issued
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePedicled flaps are still the workhorse flaps for reconstruction of upper limb soft tissue defects in many centers across the world. They are lifeboat options for coverage in vessel deplete wounds. In spite of their popularity existing algorithms are limited to a particular region of upper limb; a general algorithm involving entire upper limb which helps in clinical decision making is lacking. We attempt to propose one for the day to day clinical practice.
methodsA retrospective analysis of patients who underwent pedicled flaps for coverage of post-traumatic upper extremity (arm, elbow, forearm, wrist & hand) soft tissue defects within the period of January 2016 to October 2017 was performed. Patients were divided into groups according to the anatomical location of the defects. The flaps performed for different anatomical regions were enlisted. Demographic data and complications were recorded. An algorithm was proposed based on our experience, with a particular emphasis made to approach to clinical decision making.
resultsTwo hundred and twelve patients were included in the study. Mean age was 27.3 years (range: 1-80 years), 180 were male, and 32 were female. Overall flap success rate was 98%, the following complications were noted marginal flap necrosis requiring no additional procedure other than local wound care in 32 patients (15%), partial flap necrosis requiring flap advancement or extra flap in 15 patients (7%), surgical site infection in 11 patients (5%), flap dehiscence requiring re-suturing in 5 patients (2.4%), total flap necrosis 4 patients (2%).
conclusionThe proposed algorithm allows a reliable and consistent method for addressing diverse soft tissue defects in the upper limb with high success rate.
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