Treatment of composite tissue loss following hand and forearm trauma.

Abstract

Restoration of satisfactory function following composite tissue loss in the hand and forearm requires reconstruction of soft tissue defect, nerve and tendon injury, and skeletal fixation when fracture occurs. Microsurgical techniques often are required, but single-donor composite tissue transfers seldom are necessary. Reconstructive strategy requires careful planning. Decision-making principles and surgical alternatives are discussed at the end of the article.