Vascularized Composite Tissue Spare Part Transfer for Central Hand Defect Reconstruction: Case Report

Injuries to the hand with loss of joints, tendons, nerves, and soft tissue may require complex, innovative reconstructive techniques to achieve a favorable functional and aesthetic outcome. We present a case of a manual laborer who sustained a multifaceted injury from a metal press machine with loss...

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Veröffentlicht in:The Journal of hand surgery (American ed.) 2016, Vol.41 (1), p.76-80
Hauptverfasser: Billig, Jessica, MD, Johnson, Shepard P., MBBS, Ogawa, Takeshi, MD, PhD, Chung, Kevin C., MD, MS
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Sprache:eng
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Zusammenfassung:Injuries to the hand with loss of joints, tendons, nerves, and soft tissue may require complex, innovative reconstructive techniques to achieve a favorable functional and aesthetic outcome. We present a case of a manual laborer who sustained a multifaceted injury from a metal press machine with loss of composite structures including the middle and ring finger metacarpophalangeal joints, flexor and extensor tendons, digital nerves, and dorsal/volar soft tissues. Reconstruction included using the spare parts technique for transferring his ring finger proximal interphalangeal joint as a pedicle to reconstitute the missing metacarpophalangeal joint of his middle finger. The soft tissue from the ring finger was rearranged to provide aesthetic coverage of the hand with like-to-like reconstruction of the glabrous and nonglabrous skin.
ISSN:0363-5023
1531-6564
DOI:10.1016/j.jhsa.2015.10.025