Index Finger Pollicization for Hypoplastic Thumb Amir H. Taghinia Brian I. Labow Joseph Upton DEFINITION The thumb is the functional keystone of the hand. The basic hand unit has three…

Keystone Flaps Theodore A. Kung Peter Neligan DEFINITION The keystone flap is a versatile fasciocutaneous flap that transfers available soft tissue to an adjacent defect and can be designed anywhere…

Soft Tissue Coverage of the Knee: Gastrocnemius Muscle Flap Hani Sbitany DEFINITION Soft tissue defects around the knee, or the anterior third of the tibia, often cannot be treated with…

Posterior Interosseous Artery Flap Kate Elzinga Kevin C. Chung DEFINITION The posterior interosseous artery (PIA) flap is a perforator flap used for coverage of upper extremity defects. Its harvest avoids…

Repair of Flank and Lumbar Defects Sergey Y. Turin Chad A. Purnell Gregory A. Dumanian DEFINITION A defect in the flank/lumbar region of the abdominal wall can be a challenging…

Free Lateral Arm Flap John R. Lien Kevin C. Chung DEFINITION The lateral arm flap is a reliable septofasciocutaneous flap for local and free tissue transfer. Originally described for reconstructive…

Flap Coverage of Thumb Defects Kate Elzinga Kevin C. Chung DEFINITION The thumb accounts for over 40% of hand function.1 Maintenance of length, ideally beyond the neck of the proximal…

The Reverse Sural Artery Flap for Lower Extremity Reconstruction Ashkaun Shaterian Amber Leis DEFINITION The reverse sural artery flap was first described by Donski and Fogdestam1 and later by Masquelet…

Free Anterolateral Thigh Flap John R. Lien Kevin C. Chung DEFINITION The anterolateral thigh flap is a versatile free flap that is often harvested as a fasciocutaneous flap, supplied by…

Reverse Flow Radial Forearm Flap Kate Elzinga Kevin C. Chung DEFINITION The most commonly used regional flap for coverage of volar and dorsal hand and wrist wounds is the reverse…