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Metacarpal-Like and Metacarpal Hand
Nidal Farhan ALDeek1, Yu-Te Lin1, Fu-Chan Wei2
1Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Chang Gung University, Taipei, Taiwan.
Hand Clinics
|October 8, 2016
Summary
Metacarpal-like and metacarpal hand injuries cause nonfunctional hands. Microsurgical toe-to-hand transplantation offers a solution, with meticulous planning crucial for optimal outcomes and minimal donor site morbidity.
Area of Science:
- Hand surgery
- Microsurgery
- Reconstructive surgery
Background:
- Metacarpal hand injuries are well-documented, but metacarpal-like hand injuries remain unaddressed.
- Both injury types can lead to severe hand nonfunctionality.
Observation:
- A novel treatment algorithm for metacarpal-like hand injuries is proposed, adapting principles from metacarpal hand injury management.
- Microsurgical toe-to-hand transplantation is identified as a viable reconstructive option for both injury types.
Findings:
- The proposed algorithm provides guidance for reconstructive surgeons treating metacarpal-like hand injuries.
- Successful toe-to-hand transplantation can restore acceptable hand function for both metacarpal and metacarpal-like injuries.
Implications:
- This work establishes a treatment framework for previously unaddressed metacarpal-like hand injuries.
- Effective microsurgical reconstruction, particularly toe-to-hand transplantation, is key to restoring hand function and minimizing donor site complications.
Keywords:
Combined second and third toe transferMetacarpal handMetacarpal-like handSecond toe transferToe-to-hand transferTrimmed great toe transferTripod pinchWhole great toe transferMore Related Videos
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