Introduction:

Options for soft tissue management of traumatic defects have increased with the development of microsurgery, with a better understanding of pedicle flaps and advances with negative pressure sponge therapy.

Objective:

To review and make available to specialists some of the topics related to these surgical procedures for flaps in traumatic limb injuries.

Methods:

A PubMed search was carried out from 2010 to 2020, in English with the terms: "flap surgery in traumatic injuries", "treatment of soft tissue injuries related to trauma of the limbs", "reconstruction of the limbs". traumatic soft tissue injuries of extremities”. Articles freely accessible or through the Clinical Key and Hinari service were also reviewed.

Conclusions:

There are controversies about the optimal time for wound closure. The definition of primary versus secondary reconstruction depends on the time of injury and the type of surgical procedure. Negative pressure wound therapy serves as part of the arsenal for soft tissue reconstruction in extremity trauma.

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