Abstract | OBJECTIVE: The decision about primary or staged reconstruction of all structures in severe hand injuries is controversial. The purpose of this case report is to present a surgical protocol that lead to good functional results and rapid recovery after primary bone grafting with pedicled flap coverage of a complex hand injury. METHODS: A case is reported in which 2 iliac crest bone grafts, an extended dorsal metacarpal artery flap and a heterodigital island flap, were performed at primary intervention to reconstruct the index and middle fingers of a 17-year-old patient. RESULTS: Length and sensation of the digits were fully preserved while the destroyed joints were fused and covered with mobile soft tissue. Hereby, a satisfactory pinch grip and hand closure was restored, allowing the patient to return to work after only 2 months. CONCLUSIONS: Given proper planning and adequate debridement, primary reconstruction of all injured structures should be considered when dealing with complex hand injuries.
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Authors | Stéphane Stahl, Oliver Lotter, Adelana Santos Stahl, Hans-Eberhard Schaller, Nektarios Sinis |
Journal | Eplasty
(Eplasty)
Vol. 10
Pg. e21
(Mar 10 2010)
ISSN: 1937-5719 [Electronic] United States |
PMID | 20305708
(Publication Type: Journal Article)
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