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[Free primary tissue transfer from non-replanted finger parts]
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|January 1, 1982
Summary
Nonreplantable finger parts can reconstruct severely damaged digits in mutilating injuries. Microsurgical flaps from these parts improve healing and function of remaining fingers.
Area of Science:
- Hand surgery
- Microsurgery
- Reconstructive surgery
Background:
- Mutilating multidigital injuries pose significant reconstructive challenges.
- Preserving function in severely damaged digits is crucial for patient outcomes.
Observation:
- A case report details a 38-year-old man with a severe multidigital injury to his left hand.
- An extensive soft tissue defect on the middle finger was addressed using a flap from a nonreplantable index finger.
Findings:
- The index finger flap, containing a neurovascular bundle and dorsal vein, was microsurgically anastomosed to the damaged middle finger.
- Osteosynthesis, bone grafting, and flexor tendon repair were performed on the middle finger prior to flap coverage.
Implications:
- This technique demonstrates the viability of using nonreplantable digits as donor sites for reconstructive flaps.
- Immediate microvascular flap transfer from nonreplantable parts is recommended for complex hand injuries.
- This approach can enhance healing and functional recovery in patients with severe digital trauma.