Related Experiment Videos
Microvascular free on-top plasty in a mutilated hand
1Department of Plastic and Reconstructive Surgery, Medical Faculty of Uludağ University, Bursa, Turkey.
Annals of Plastic Surgery
|August 17, 2001
Summary
Reconstructing a mutilated hand with a microvascular free on-top plasty using a ring finger segment improved grip strength and stability. This innovative technique offers an alternative when toe transfers are not feasible for finger reconstruction.
Area of Science:
- Hand surgery
- Microsurgery
- Reconstructive surgery
Background:
- Amputation of multiple fingers (index, middle, ring) severely impairs hand function, leading to poor pinch and grasp.
- Restoring finger function is crucial for effective hand use in cases of mutilation.
Observation:
- Toe transfer is generally preferred for finger reconstruction due to its functional and cosmetic advantages.
- Patient preference and availability can preclude toe transfer, necessitating alternative donor sites.
Findings:
- A microvascular free on-top plasty successfully reconstructed a mutilated hand by transferring a ring finger segment to the index finger stump.
- This procedure resulted in improved hand strength, stability, and grip function for both small and large objects.
Implications:
- Microvascular free on-top plasty provides a viable alternative for finger reconstruction when toe transfer is not an option.
- This technique enhances functional outcomes and patient quality of life in complex hand injuries.