This PhD thesis explores new methods for repairing damaged fingers and knees. The research stems from real-world patient cases. In cases of severe finger injuries where reattachment is not possible, local skin and tissue flaps have proven to be an effective solution. They help preserve the finger’s length, function, and appearance without the need for complex microsurgery. Anatomical research shows that existing blood vessels offer more possibilities than previously thought. A new technique (SISAP flap) has also been developed to cover large finger wounds. For knee problems, alternative muscle flaps (LPTF and mcLPF) have been developed, particularly for patients for whom standard options no longer work. The main conclusion is that these techniques are simpler, faster, and yet effective, yielding good results for patients and requiring less invasive surgery.
After graduating in 1999 in Germany, T. Wagner began his training in plastic surgery until 2007 followed by a fellowship in anesthesia and intensive care. From 2008 onward, he assumed senior clinical positions, like Senior Registrar and later as Vice Head of the Department of Plastic Surgery in Hameln. Since April 2012, he has been working as a Consultant in the Department of Plastic Surgery at Radboud University Medical Center.