Use of Vascularized Radial Flap by the "Flap in Flap" Method in Reconstruction for Complex and Extensive Defects of the skin and Soft Tissues of the Hand

The aim of the study was to evaluate the efficacy and clinical outcomes of using a vascularized radial flap using the flap-in-flap technique for reconstructing complex and extensive defects of the skin and soft tissues of the hand. An analysis of 18 clinical cases conducted between 2020 and 2024 is presented. A decrease in the incidence of necrosis, improved trophism and functional results were noted. The technique allows achieving a high degree of flap adaptation to the complex anatomy of the hand while minimizing donor damage.