Advances in Soft Tissue Injuries Associated with Open Fractures

Andrew W Hollins; Suhail K Mithani

doi:10.1016/j.hcl.2023.05.008

Advances in Soft Tissue Injuries Associated with Open Fractures

Hand Clin. 2023 Nov;39(4):605-616. doi: 10.1016/j.hcl.2023.05.008. Epub 2023 Jun 28.

Authors

Andrew W Hollins¹, Suhail K Mithani²

Affiliations

¹ Division of Plastic Surgery, Department of Surgery, Duke University Medical Center, Box 3974 Duke Medical Center, Durham, NC 27710, USA.
² Division of Plastic Surgery, Department of Surgery, Duke University Medical Center, 2301 Erwin Road, Durham, NC 27705, USA. Electronic address: suhail.mithani@duke.edu.

PMID: 37827613
DOI: 10.1016/j.hcl.2023.05.008

Abstract

Management of soft tissue injury is a key component in the overall treatment of upper extremity fractures. Hand surgeons must rely on their armamentarium for treating soft tissue deficits for functional outcomes. Understanding the role of fracture fixation and wound adjuncts, including negative pressure wound therapy and dermal regenerative templates, is the keys to success. In addition, detailed knowledge of local and free tissue options is essential for hand reconstruction.

Keywords: Flap reconstruction; Grafts; Soft tissue; Traumatic wounds.

Publication types

Review
Research Support, Non-U.S. Gov't

MeSH terms

Fractures, Open* / surgery
Humans
Negative-Pressure Wound Therapy*
Plastic Surgery Procedures*
Retrospective Studies
Soft Tissue Injuries* / surgery
Treatment Outcome