Grenade blast injury hand

The principles of microvascular free tissue transfer in war wounds are not different from civilian trauma. Muscle flaps are preferred over fasciocutaneous flaps to fill the large size defects and to combat the local infection. Today, the reconstructive surgeon with the help of microvascular techniques is able to reconstruct large complex defects as compared to an era before the advent of this technique. The free tissue transfer has increased the ability of reconstructive surgeons to restore functions of severely damaged limbs [Figures ​[Figures1 and 2].