TY - JOUR PY - 2017// TI - Severe crush injury to the forearm and hand: the role of microsurgery JO - Clinics in plastic surgery A1 - Del Piñal, Francisco A1 - Urrutia, Esteban A1 - Klich, Maciej SP - 233 EP - 255 VL - 44 IS - 2 N2 - 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.

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Language: en

LA - en SN - 0094-1298 UR - http://dx.doi.org/10.1016/j.cps.2016.11.002 ID - ref1 ER -