Related Experiment Video
Updated: Feb 25, 2026
08:18
Engineered Vascularized Muscle Flap
Published on: January 11, 2016
8.7K
Vascularized Spare Parts Reconstruction of Hand Gunshot Injury
Nathan Patrick1, Alexander Payatakes1
11 Penn State Milton S. Hershey Medical Center, Bone and Joint Institute, Hershey, Pennsylvania, USA.
The Journal of Hand Surgery Asian-Pacific Volume
|August 5, 2017
Summary
This study details a novel "vascularized spare parts" hand reconstruction technique using a single digit for bone and soft tissue repair. The innovative approach successfully restored function and appearance, enabling a patient
Area of Science:
- Orthopedic surgery
- Hand reconstruction
- Trauma surgery
Background:
- Reconstructing extensive traumatic bone and soft tissue hand deficits is challenging.
- Gunshot wounds often result in complex hand injuries requiring advanced reconstructive methods.
Observation:
- A case of a gunshot wound to the hand with significant bone and soft tissue loss is presented.
- A single compromised digit was utilized as the source for multiple vascularized tissue transfers.
Findings:
- A pedicled phalanx graft provided osseous stability.
- A digital fillet flap ensured soft tissue coverage.
- Flexor tendons were repurposed to restore hand function.
Implications:
- This
- vascularized spare parts
- technique offers a viable solution for complex hand reconstructions.
- Excellent functional and cosmetic outcomes were achieved, allowing return to manual labor.
- This method highlights the potential of utilizing compromised digits for salvage and reconstruction.
