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Finger reconstruction using induced membrane technique and ulnar pedicled forearm flap: a case report
Olivier Herisson1, Alain-Charles Masquelet1,2, Levon Doursounian1,2
1Orthopaedic, Trauma, and Hand Surgery, Saint Antoine Hospital, 184 Rue du Faubourg Saint-Antoine, 75012, Paris, France.
Archives of Orthopaedic and Trauma Surgery
|March 15, 2017
Summary
This case study demonstrates successful multitissular reconstruction for severe rollover hand injuries using the Masquelet technique. The two-stage approach achieved bone consolidation and satisfactory functional recovery for the patient.
Area of Science:
- Orthopedic surgery
- Hand surgery
- Reconstructive surgery
Background:
- Rollover hand injuries involve complex dorsal hand lesions.
- Severe injuries to the dorsum of the fingers present significant reconstructive challenges.
Observation:
- A 45-year-old woman with a severe rollover hand injury underwent a two-stage reconstruction.
- The Masquelet induced membrane technique was employed for bone defect reconstruction.
- A reverse ulnar artery forearm pedicled flap was used for soft tissue coverage.
Findings:
- The patient achieved good functional hand use and satisfactory esthetic results at 2-year follow-up.
- Bone consolidation was achieved 4 months after the second surgical stage.
- The Masquelet technique facilitated treatment of phalanx bone defects.
Implications:
- The Masquelet technique is a viable option for complex phalanx bone defects in rollover hand injuries.
- This approach mitigates risks of septic complications associated with complex reconstructions.
- Multitissular reconstruction can restore function and aesthetics in severe hand trauma.
