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Non-microvascular alternatives for treatment of pediatric hand conditions: Sometimes a better option (Abstract)

David T. Netscher ¹, Gina Cruz ², Carolyn Berg ³

¹Division of Plastic Surgery, Department of Orthopedic Surgery, Baylor College of Medicine

²Division of Plastic Surgery, Baylor College of Medicine

³Michael E. DeBakey Department of Surgery, Baylor College of Medicine,

Houston, Texas, USA



Purpose: Non-microvascular options exist for pediatric hand reconstruction. The aim is evaluate the indications and outcomes for these reconstructions.

Methods: Evaluate results of different types of reconstruction as supported by the evidence in the literature and from personal experience.

Results: Case studies show the value of local pedicle flaps from the hand and forearm, the specific role for the groin flap, distraction lengthening, non-vascularized toe phalanageal transfers, non-vascularized toe joint transfer, and prosthesis fitting.

Conclusions: Non-microvascular options do not require special equipment needs and in certain congenital and traumatic situations may actually be a better treatment option than the microvascular alternatives.

Key words: intrinsic hand flaps, forearm flaps, groin flap, toe phalangeal transfer, distraction lengthening, toe joint transfer.


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