My Favorite Flaps in the Hand | Quick Hits!-Full Presentation: My Favorite Flaps in the Hand

Video Transcription

Video Summary

The session focused on various flaps used in hand surgery. Dr. Matt Iorio introduced the topic, highlighting the importance of versatile flaps for hand injuries. Dr. Tim Doherty discussed the dorsal metacarpal artery perforator flap, emphasizing its utility in covering finger defects with exposed tendons. He described its development, anatomical considerations, and case applications, noting its effectiveness for both dorsal and volar finger injuries.<br /><br />Dr. Livia Halawal focused on cross finger and reverse cross finger flaps, used primarily for fingertip and volar defects. She discussed case studies and mentioned the homodigital and heterodigital island flaps, highlighting different surgical strategies based on injury type and patient factors.<br /><br />Dr. Bob Aksafa presented on venous flaps, ideal for small hand defects. He explained their physiology, design considerations, and practical applications in different scenarios, including revascularization cases. He detailed various types of venous flaps and emphasized their role in trauma cases and the flexibility in design they offer.<br /><br />During the discussion, the experts debated flap utility and discussed strategies for different patient scenarios, including management of flaps in smokers. The session acknowledged challenges in flap design and implementation, stressing the importance of adaptable solutions in complex hand surgeries. The panel agreed on the critical role of flaps in reconstructive hand surgery and shared insights on optimizing surgical outcomes.

Keywords

hand surgery

versatile flaps

dorsal metacarpal artery perforator flap

finger defects

cross finger flaps

reverse cross finger flaps

venous flaps

revascularization

trauma cases

reconstructive surgery