Abstract
The need for an appropriate flap cover to protect vital structures, restore and preserve function and aesthetics of the hand following tissue loss remains a challenge to the reconstructive hand surgeon. Following the description of the angiosome concept by Taylor and Palmer and the pioneering work of authors such as Koshima & Soeda, Kroll, and Rosenfield, in the late 1980s, the perforator flap technique has moved to the centre stage in reconstructive flap surgery.
Highlights
The need for an appropriate flap cover to protect vital structures, restore and preserve function and aesthetics of the hand following tissue loss remains a challenge to the reconstructive hand surgeon
Materials and methods A literature review of the ‘named’ perforator flaps which have been used in the hand and published in peer reviewed English literature using keywords in the title and abstract in MEDLINE served as the framework for this presentation
Despite the attempts to achieve a standardized nomenclature for these flaps (Blondeel 2002, 2003), it is clear that the terminology is lacking in universal applicability or acceptance making communication and comparison of literature on ‘perforator’ flaps difficult
Summary
A literature review of the ‘named’ perforator flaps which have been used in the hand and published in peer reviewed English literature using keywords in the title and abstract (perforator flap, hand, palm, dorsum of hand, digits fingers) in MEDLINE served as the framework for this presentation. A further review of the references in the core articles for other perforator based flaps was done. Clinical examples of the indications, pedicle peculiarities, ideal recipient sites and specific donor site problems of some of the workhorse perforator flaps from my personal experience are presented
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