Free muscle flaps for reconstruction of upper limb defects

Mark V. Schaverien (Lead / Corresponding author), Andrew M. Hart

    Research output: Contribution to journalArticlepeer-review

    13 Citations (Scopus)


    Restoration of structure, function, and sensation are critical after trauma or tumor resection of the hand. Thorough debridement, reconstruction of functional structures, and immediate soft tissue coverage are most effectively performed in a single stage within approximately 24 hours of the injury. Skin flaps provide robust, pliable, and cosmetically appropriate tissue that is not prone to contracture and that facilitates secondary reconstructive work. Muscle flaps retain indications for complex defects with substantial initial contamination or dead space, or for reanimation. In this article, the indications, options, and surgical techniques for free muscle flap reconstruction of upper limb defects are reviewed.
    Original languageEnglish
    Pages (from-to)165-183
    Number of pages19
    JournalHand Clinics
    Issue number2
    Publication statusPublished - May 2014


    • Arm Injuries
    • Debridement
    • Humans
    • Muscle, Skeletal
    • Reconstructive Surgical Procedures
    • Soft Tissue Injuries
    • Surgical Flaps


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