Local, regional and distant flaps in reconstructive hand surgery in children

Objective. Hand injuries in children are quite common. Most challenging within plastic and reconstructive surgery/reconstructive microsurgery expertise were there traumatic hand defect upper extremities open sequels. There wide variety of reconstruction techniques to deal with defects general distal phalanx particularly. The core problem is how make very choice method technique from diversity local, regional distant flaps. Injuries phalanges the most common type trauma children. coverage soft tissue remains actual. A lot methods developed. no generally accepted approach or an algorithm treatment adults such trauma. Material methods. In period 2018 2021 at Microsurgery Department N.F. Filatov Moscow Clinical Hospital for Children 152 surgical operations using local (68), (72) (12) flaps performed. Results. All all patients our clinical series have survived. neither major complication secondary revisional procedures. Used different provided transport adequate viable donor tissues recipient areas critical functional significance. selection particular flap we been making on individual basis mostly depending injury severity, requirement prognosis. Conclusion. We considering surgeon’s own experience main defining factor certain