Introduction The venous flap is a thin, pliable flap consisting of skin, subcutaneous tissue, and veins. It differs from conventional flaps in that it is not an arterial afferent and venous efferent flap ( Fig. 93.1A ). Instead, inflow and…
Introduction The dorsal metacarpal artery (DMA) flap is a vascularized skin flap from the dorsum of the hand. It can be based on the second, third, or fourth DMA and its cutaneous perforators. The flap also can be based on…
Introduction As with reconstruction elsewhere on the body, surgeons must keep in mind the “reconstructive ladder” when repairing hand defects. Consider treatment options that range from “simple to complex” and from “local to distant.” Local flaps are composed of skin…
Indications Compartment syndrome occurs when pressure within a fibroosseous space increases beyond a level that is suitable for perfusion across tissues. The most common cause of forearm compartment syndrome is fracture, especially distal radius fracture. Other causes of compartment syndrome…
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