Abstract
IntroductionSoft tissue reconstruction of the hand and distal upper extremity is challenging to preserve the function of the hand as good as possible. Therefore, a thin flap has been shown to be useful. In this retrospective study, we aimed to show the use of the free temporoparietal fascial flap in soft tissue reconstruction of the hand and distal upper extremity.MethodsWe analysed the outcome of free temporoparietal fascial flaps that were used between the years 2007and 2016 at our institution. Major and minor complications, defect location and donor site morbidity were the main fields of interest.Results14 patients received a free temporoparietal fascial flap for soft tissue reconstruction of the distal upper extremity. Minor complications were noted in three patients and major complications in two patients. Total flap necrosis occurred in one patient.ConclusionThe free temporoparietal fascial flap is a useful tool in reconstructive surgery of the hand and the distal upper extremity with a low donor site morbidity and moderate rates of major and minor complications.
Highlights
Soft tissue reconstruction of the hand and distal upper extremity is challenging to preserve the function of the hand as good as possible
The time required for surgery was 4 h 26 min (± 59 min); patients stayed in hospital after soft tissue reconstruction for 9.5 days
An alternative treatment for soft tissue defects of the hand and wrist is the reconstruction using reverse fore‐ arm flaps such as the reverse adipofascial radial forearm flap (RARFF)
Summary
Soft tissue reconstruction of the hand and distal upper extremity is challenging to preserve the function of the hand as good as possible. Results 14 patients received a free temporoparietal fascial flap for soft tissue reconstruction of the distal upper extremity. Conclusion The free temporoparietal fascial flap is a useful tool in reconstructive surgery of the hand and the distal upper extremity with a low donor site morbidity and moderate rates of major and minor complications. The temporoparietal fascial flap (TPFF) was first described by Golovine in 1898 [1, 2] To this day it is still a useful tool in reconstructive surgery [3]. The long pedicle and the low donor site complications as well as the inconspicuous scar are the main advantages of this flap [1, 2] These char‐ acteristics result in a good functional and aesthetic outcome especially when the defect is located at the hand.
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