Traumatic Dorsal Hand Reconstruction through A free Anterolateral Thigh Flap, Induced Membrane Technique, Toe Joint Transfer, and Joint Prosthesis

This study presents a case of post-traumatic dorsal hand reconstruction by describing the surgical technique in several stages and the outcome. It involves a patient with loss of cutaneous tissue, loss of bone, and tendon in the dorsal hand and fingers following a car accident. He was treated on a four-stage hand salvage and reconstruction. Stage one fulfilled in emergency involved K-wire and osseous filling through acrylic cement, hunter tendon rods, and a free anterolateral thigh flap. The second stage at 2 months involved osseous grafts and finger joint prostheses. The third stage time at 7 months involved a toe joint transfer. The last stage at 11 months involved extensor tendons graft reconstruction. The functional outcome at 2 years is acceptable. The post-traumatic dorsal hand reconstruction requires several techniques to reconstruct the losses of substances observed and this in several stages. It allowed to have an acceptable hand function.