An Innervated Flap,Incorporating Supraclavicular Nerves,for Reconstruction of Major Hand Injuries

Abstract

In the treatment of severely degloved hands, an innervated flap provides the best reconstruction in cases where revascularisation is impossible.

An innervated flap using the cutaneous territory of the supraclavicular nerves is presented and an illustrative case presented. The anatomy is described and the flap compared with other distant flaps. The principal advantages of this flap are the large amount of available skin and the presence of three or more suitable donor nerves.