[Secondary digit reconstruction of mutilated hand]

Area of Science:

• Hand surgery
• Reconstructive surgery
• Trauma surgery

Background:

• Traumatic digit amputation leads to significant functional, aesthetic, and psychological impairments.
• Early secondary surgical intervention is recommended before psychological adaptation to trauma occurs.

Purpose of the Study:

• To outline an approach and indications for secondary digit reconstruction in mutilated hands.
• To emphasize the importance of a comprehensive strategy for restoring hand function and aesthetics.

Main Methods:

• Utilizing local surgical techniques (phalangization, elongating, proximal amputation, digital translocation/redistribution).
• Employing remote techniques like osteoplastic and toe-to-hand transfers.
• Analyzing patient-specific factors including age, profession, hand dominance, and health status.

Main Results:

• Restoration of a quality pollici-digital pinch (stable, sensitive, strong, mobile).
• Improvement in the aesthetic appearance of the hand.
• Successful functional and psychological rehabilitation through tailored surgical plans.

Conclusions:

• Mastery of diverse surgical techniques is essential for digit reconstruction.
• Individualized patient assessment is critical for selecting the optimal therapeutic strategy.
• A combination of surgical expertise and patient-centered care ensures the best results for mutilated hands.