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An example of "free flap" could be a "free toe transfer" in which the great toe or the second toe is transferred to the hand to reconstruct a thumb. [1] For all "free flaps", the blood supply is reconstituted using microsurgical techniques to reconnect the artery (brings blood into the flap) and vein (allows blood to flow out of the flap).
[1] Autograft: graft taken from one part of the body of an individual and transplanted onto another site in the same individual, e.g., skin graft. Isograft: graft taken from one individual and placed on another individual of the same genetic constitution, e.g., grafts between identical twins.
The traditional 60° angle Z-plasty will give a theoretical lengthening of the central limb of 75%. [1] Single or multiple z-plasties can be used. Specific modifications include the double-opposing z-plasty (sometimes called a "jumping man" flap) which can be useful for release of webbing of the medial canthus or release of 1st web space ...
Brown dermatome, the first with powered rotation to be developed, used mostly for large skin grafts. It is electrically operated. Castroviejo dermatome, also electrically operated, is a precision dermatome with a small head and controllable thickness, which is most used for mucous membrane grafts.
Flap surgery is a technique essential to plastic and reconstructive surgery.A flap is defined as tissue that can be moved to another site and has its own blood supply.This is in comparison to a skin graft which does not have its own blood supply and relies on vascularization from the recipient site. [2]
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Hand transplantation, or simply a hand transplant, is a surgical procedure to transplant a hand from one human to another. The donor hand, usually from a brain-dead donor, is transplanted to a recipient amputee. Most hand transplants to date have been performed on below-elbow amputees, although above-elbow transplants are gaining popularity.
The hands typically get cold when the body or the hand specifically is exposed to cold.” Most of the time cold hands aren’t a cause for concern — they’re simply the result of less blood ...