Soft Tissue Reconstruction of the Hand and Arm-Reconstructive Elevator

Reconstructive Elevator

Pdf Summary

Soft tissue reconstruction of the upper extremity is a complex topic that involves multiple potential solutions for every defect. The concept of the reconstructive elevator allows for a more complex reconstruction that takes into account specialized function and aesthetic outcome. This article provides an algorithm for assessing defects and choosing the most suitable reconstructive option. It presents representative flaps and discusses functional and aesthetic outcomes. The article also provides CME information and disclosures.<br /><br />The article categorizes upper extremity defects into three groups: skin-only defects, volume-loss defects, and functional tissue defects. Skin-only defects can be allowed to heal by secondary intention or covered with a skin graft, but those with exposed tendons or bone require more durable soft tissue coverage. Volume-loss defects require thorough assessment to fill the defects with the appropriate tissue type and volume. Functional tissue defects require reconstructive solutions that restore lost function. The article provides examples and details on various flaps that can be used for each category of defects.<br /><br />Considerations for soft tissue reconstruction include functional and aesthetic goals, scar location, color match, tissue volume, donor site, and the type of tissue required for reconstruction. The article emphasizes the importance of matching tissue type with the defect and choosing a reconstructive option that achieves the best outcome for the patient.<br /><br />The reconstructive elevator concept allows for more flexibility in choosing a reconstructive option based on individual patient needs and goals. By considering specialized function and aesthetic outcome, surgeons can select the most appropriate reconstructive option for each upper extremity defect.

Keywords

soft tissue reconstruction

upper extremity

reconstructive elevator

functional and aesthetic outcomes

upper extremity defects

skin-only defects

volume-loss defects

functional tissue defects

various flaps

reconstructive option selection