Background: The dorsum of the hand is a very specialized
region with thin and fragile skin characterized by poor subcutaneous
tissue.
Aim and Objectives: The work aimed to introduce methods
of reconstruction of the soft tissue defects of the dorsum of
the hand and wrist with exposed tendons, joints, nerves, and
bones and compare these methods for each region.
Patients and Methods: This prospective clinical study
was carried out on 30 patients who presented with soft tissue
defects of the dorsum of the hand and exposed vital structures.
Patients were treated with dorsum hand reconstruction using
different pedicle flaps, either local, regional, or distant flaps,
from October 2018 to March 2021. Patients will be selected
from the Emergency Unit of The Plastic Surgery Department,
Beni-Suef University and Beni-Suef Medical Insurance
Hospital.
Results: Patient satisfaction raged from 70% to 97%, and
the mean patient satisfaction (Mean ± standard deviation) was
86.73±7.08.
Conclusion: There are multiple options available for the
reconstruction of soft tissue defects of the dorsum of the hand.
The main goal of reconstruction is to provide thin, pliable
skin that permits mobility. The reconstructive strategy depends
on the location and size of the defect, the presence of concomitant
digital defects, the need for staged procedures, and
available resources.