Citation

Del Piñal F, Urrutia E, Klich M. Clin. Plast. Surg. 2017; 44(2): 233-255.

Affiliation

Instituto de Cirugía Plástica y de la Mano, Private Practice, Hospital La Luz and Hospital Mutua Montañesa, Madrid/Santander, Spain; Department of Traumatology and Orthopedics, Clinical Hospital, Warsaw, Otwock, Poland.

Copyright

(Copyright © 2017, Elsevier Publishing)

DOI

10.1016/j.cps.2016.11.002

PMID

28340660

Abstract

The main goals of treating severe crush injuries are debriding away devitalized tissue and filling any resultant dead space with vascularized tissue. In the authors' experience, the most ideal methods for soft tissue coverage in treating crush injuries are the iliac flap, the adipofascial lateral arm flap, and the gracilis flap. Accompanying bone defects respond very well to free corticoperiosteal flaps. Digital defects often require the use of complete or subtotal toe transfer to avoid amputation and restore function to the hand.

Copyright © 2016 Elsevier Inc. All rights reserved.

Language: en

Keywords

Compartimental syndrome; Crush syndrome; Free flap; Hand; Hand revascularization; Microsurgery