Flow-Through Procedure in Sequela After Complex Injuries of the Hand With Fingers' Amputation

Area of Science:

• Reconstructive Microsurgery
• Hand Surgery
• Plastic Surgery

Background:

• Complex hand injuries with finger amputation often lead to significant functional impairment.
• When finger replantation is not feasible, reconstructive options are crucial for restoring hand function.
• Limited local vascular resources can complicate reconstructive efforts.

Purpose of the Study:

• To evaluate the efficacy of toe transfers using flow-through techniques for reconstructing hands with finger amputations.
• To describe and present the outcomes of true flow-through and flow-through conduit flap methods in hand reconstruction.

Main Methods:

• Retrospective review of four male patients undergoing finger reconstruction with toe transfers.
• Utilized true flow-through flaps and flow-through conduit techniques for reconstruction.
• Detailed description of surgical methods and assessment of regained hand functionality.

Main Results:

• Patients aged 21-45 years with work-related hand trauma involving single or multiple finger amputations.
• Reconstruction involved toe transfers via true flow-through or conduit flaps.
• All patients achieved good functional recovery of the reconstructed hand.

Conclusions:

• Toe transfer is a premier method for reconstructing hands with missing fingers.
• Both true flow-through and flow-through conduit methods are valuable, particularly in cases with compromised vascularity.
• These techniques offer a viable solution for severe hand injuries with finger loss.