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Journal of Hand Surgery (British and European Volume)
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Emergency Free Tissue Transfer for Severe Upper Extremity Injuries

M. NINKOVIC
H. DEETJEN
K. ÖHLER
H. ANDERL

From the University Hospital of Plastic and Reconstructive Surgery, Innsbruck, Austria

Correspondence: Dr Milomir Ninkovic, Universitätsklinik für Plastische und Wiederherstellungschirurgie, Anichstraße 35, 6020 Innsbruck, Austria.

29 patients with severe upper extremity injury were treated with 27 emergency free flap and three emergency toe-to-hand transfers, after radical débridement and primary reconstruction of all injured structures. There was no flap failure, and no infections or wound-healing complication were seen.

Follow-up ranged from 3 months to 6.6 years with a mean of 3.2 years. 19 patients returned to work (14 to their original jobs), three were retired and another seven had no employment before injury. Operation time ranged from 2 hours 45 minutes to 18 hours 20 minutes with an average of 7 hours 45 minutes, depending upon the size of the defect and mechanism of injury.

Long-term follow-up revealed successful functional and aesthetic results, decreased morbidity and invalidity, and reduced rates of free flap failure, post-operative infection, secondary operative procedures, hospital stay and medical expense.

Journal of Hand Surgery (British and European Volume), Vol. 20, No. 1, 53-58 (1995)
DOI: 10.1016/S0266-7681(05)80017-8
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