Soft Tissue Reconstruction of the Hand: Loco-regional and Distant Flaps Selection and Approach PDF
Preview Soft Tissue Reconstruction of the Hand: Loco-regional and Distant Flaps Selection and Approach
Soft Tissue Reconstruction of the Hand: Loco-regional and Distant Flaps Selection and Approach Obaid Almeshal Salah Aldekhayel Feras Alshomer Editors 123 Soft Tissue Reconstruction of the Hand: Loco-r egional and Distant Flaps Selection and Approach Obaid Almeshal • Salah Aldekhayel Feras Alshomer Editors Soft Tissue Reconstruction of the Hand: Loco-regional and Distant Flaps Selection and Approach Editors Obaid Almeshal Salah Aldekhayel Division of Plastic Surgery, Department of Division of Plastic Surgery, Department of Surgery, King Abdulaziz Medical City Surgery, King Abdulaziz Medical City Ministry of National Guard - Health College of Medicine, King Saud bin Affairs. King Abdullah International Abdulaziz University for Health Medical Research Center Sciences Ministry of National Riyadh, Saudi Arabia Guard - Health Affairs. King Abdullah International Medical Research Center Feras Alshomer Riyadh, Saudi Arabia Division of Plastic Surgery, Department of Surgery, King Abdulaziz Medical City Ministry of National Guard - Health Affairs. King Abdullah International Medical Research Center Riyadh, Saudi Arabia ISBN 978-981-16-9944-3 ISBN 978-981-16-9945-0 (eBook) https://doi.org/10.1007/978-981-16-9945-0 © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. 2022 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Singapore Pte Ltd. The registered company address is: 152 Beach Road, #21-01/04 Gateway East, Singapore 189721, Singapore This book is dedicated to the outstanding teamwork that made this work possible. All of your hard work has paid off. Special thanks to my family, my wife, and my kids Preface It has been a sincere privilege to write and edit this book directed toward hand, plastic, and reconstructive surgeons. It addresses different levels of expertise rang- ing from medical students interested in the field to expert hand surgeons. Most of the books and articles related to this field are either quite extensive and do not show the clinical scenario being managed or tunneled to the problem being discussed. This will lead to ambiguity and unclarity of the problem being managed, especially for young surgeons. In this book, the reader will learn the different solutions related to hand soft tis- sue coverage options presented in an anatomical fashion and well-illustrated figures followed by a case scenario. The book was written in a bullet point fashion that discusses flap selection in easy-to-follow surgical steps, including postoperative instructions. The book will provide the reader with a solution related to hand soft tissue coverage that avoids the need for challenging microvascular skills. Riyadh, Saudi Arabia Obaid Almeshal, MBBS, SB-Plast vii Acknowledgments Special thanks are due to Dr. Abdullah Al-Thunayan, Dr. Abdullah Al-Namla and Professor Mohammad Al-Qattan, who provided unlimited support and had a tremendous impact as great mentors. Additionally, many thanks to Dr. Hanan Alhusainan who participated in the management and care of the patients. ix Contents Part I Random Flaps 1 Z-Plasty Flap and Its Variants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Bushra Alhazmi and Mohammed Alfawzan 2 Four-Flap Z-Plasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Bushra Alhazmi and Mohammed Alfawzan 3 Limberg (Rhomboid) Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Malak Alsaif and Mohammed Alfawzan 4 Rotational Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Malak Alsaif and Mohammed Alfawzan 5 Bilobed Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Malak Alsaif and Mohammed Alfawzan 6 Y to V Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Malak Alsaif and Mohammed Alfawzan 7 V to M Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Malak Alsaif and Mohammed Alfawzan 8 Simple Transposition Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Malak Alsaif and Mohammed Alfawzan Part II F inger tip Flaps: V-Y Advancement Flaps 9 (Atasoy) Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Muhammad Majid Ul Haq and Mohammed Alfawzan 10 Bilateral V-Y (Kutler) Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Muhammad Majid Ul Haq and Mohammed Alfawzan 11 Oblique Triangular (Venkataswami) Flap . . . . . . . . . . . . . . . . . . . . . . . 51 Hazqeel Solangi and Mohammed Alfawzan 12 Segmüller Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 Maher Elnahas and Mohammed Alfawzan xi xii Contents Part III Finger-Related Flaps 13 Standard Cross-Finger (Cronin) Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . 61 Hassan abbas Ali and Turki Alhassan 14 Reverse Cross-Finger Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69 Hassan abbas Ali and Turki Alhassan 15 C-Ring Cross-Finger Flap (Turkist Flap) . . . . . . . . . . . . . . . . . . . . . . . . 73 Hassan abbas Ali and Turki Alhassan 16 Dorsal Middle Phalangeal Finger Flap (DMFF) . . . . . . . . . . . . . . . . . . 77 Ahmed T. Al Turki and Turki Alhassan 17 Intercomissural Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83 Ahmed T. Al Turki and Turki Alhassan 18 Homodigital Bipedicled Island Advancement (O’Brien) Flap . . . . . . . 89 Ahmed T. Al Turki and Turki Alhassan 19 Homodigital Quadrangular Flap (Heuston Flap) . . . . . . . . . . . . . . . . . 93 Ezekwe E. Amirize and Turki Alhassan 20 Souquet Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99 Ezekwe E. Amirize and Turki Alhassan 21 Thenar Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103 Anas M. Alyamani and Turki Alhassan 22 Reverse Vascular (Neurovascular) Pedicle Digital Island Flap . . . . . . . 109 Syed M. Ammar Yasir Jaffry 23 Quaba Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113 Ezekwe E. Amirize and Turki Alhassan Part IV Thumb-Related Flaps 24 Moberg Volar Advancement Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121 Anas M. Alyamani and Abdulaziz Alhujayri 25 Neurovascular Island Pedicled (Littler) Flap . . . . . . . . . . . . . . . . . . . . . 125 Asmaa Z. Bin Mahmoud and Abdulaziz Alhujayri 26 Annular Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129 Asmaa Z. Bin Mahmoud and Abdulaziz Alhujayri 27 First Dorsal Metacarpal Artery Flap and Its Variants (Foucher’s Kite, Helovich’s Racquet Flap, and Bilobed First Dorsal Metacarpal Artery Flap) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133 Asmaa Z. Bin Mahmoud and Abdulaziz Alhujayri Contents xiii 28 Reverse Dorsoradial “Moschella” Flap. . . . . . . . . . . . . . . . . . . . . . . . . . 139 Bushra Alhazmi and Abdulaziz Alhujayri 29 Reverse Dorsoulnar or Dorsocubital “Brunelli” Flap . . . . . . . . . . . . . . 143 Bushra Alhazmi and Abdulaziz Alhujayri Part V Pedicled Flaps: Regional Flaps 30 Adipo-Fascial Flaps. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151 Abdullaziz S. Alazzam and Abdulaziz Alhujayri 31 Finger Propeller Flaps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157 Ali I. Hadadi and Abdulaziz Alhujayri 32 Dorsal Island Digital (Axial) Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163 Abdullaziz S. Alazzam and Nawaf Alohaideb 33 Reverse Radial Forearm Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167 Abdulaziz Alshenaifi and Nawaf Alohaideb 34 Radial Artery Perforator Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173 Abdulaziz Alshenaifi and Nawaf Alohaideb 35 Fillet Flap (Amputation Cases) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179 Anas M. Alyamani and Feras Alshomer 36 Reverse Posterior Interosseous Artery Flap . . . . . . . . . . . . . . . . . . . . . . 183 Nawaf Alohaideb 37 Dorsal Ulnar Artery Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189 Nawaf Alohaideb Part VI P edicled Flaps: Distant Flaps 38 Thoracoabdominal Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197 Ali I. Hadadi and Nawaf Alohaideb 39 Abdominal Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201 Ali I. Hadadi and Nawaf Alohaideb 40 Groin Flap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 207 Ali I. Hadadi and Nawaf Alohaideb Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 213
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