Surgical choices versus optimal patient benefit
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To the Editor:
Drs Chung and Tong (J Hand Surg 2001;26A:956–961) showed superior technical skills in their use of 3 free flaps on a single vascular pedicle to reconstruct a burned hand of a 12-year-old girl. They achieved the hand repair, however, at the cost of permanent disfigurement to a foot and scarring at an unreported skin graft site. The child was quite conscious of the appearance of the foot after surgery.
The science of hand surgery advances—appropriately so—but I am concerned about the loss of
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Copyright © 2002 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.