Soft Tissue Coverage of the Hand and Upper Extremity: The Reconstructive Elevator
Soft Tissue Coverage of the Hand and Upper Extremity: The Reconstructive Elevator
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DOI：
10.1016/j.jhsa.2016.04.020
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发表时间：
2016-07-01
影响因子：
1.9
通讯作者：
Friedrich, Jeffrey
中科院分区：
文献类型：
--
作者：
Miller, Erin Anne;Friedrich, Jeffrey
Soft tissue reconstruction of the upper extremity is a complex topic because every defect has multiple potential solutions. Whereas the often-cited reconstructive ladder advised selection of the simplest reconstruction of the defect, the newer concept of the reconstructive elevator allows freedom to choose a more complex reconstruction to account for specialized function and aesthetic outcome. An algorithm for assessment of the defect is presented and demonstrated in this review, using 6 case examples to highlight key concepts. Representative flaps are presented and a discussion of functional and aesthetic outcomes is undertaken to provide a framework for achieving the patient's and surgeon's goals of reconstruction. Copyright (C) 2016 by the American Society for Surgery of the Hand. All rights reserved.)
