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[Reconstruction of grip function in bilateral complex explosion injury]
1Abteilung für Hand- und Mikrochirurgie, Klinik für Orthopädische Chirurgie, Kantonsspital St. Gallen.
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|November 1, 1994
Summary
This study details restoring hand grip function in a blind patient with severe bilateral hand injuries. Toe transplantation enabled successful power and fine grip restoration through surgical reconstruction.
Area of Science:
- Reconstructive surgery
- Hand surgery
- Microsurgery
Background:
- Severe bilateral hand injuries, including thumb and finger loss, present significant challenges for functional restoration.
- Restoring bilateral grip function is crucial for patient independence and quality of life.
Observation:
- A blind patient with Grade 3-4 loss of thumbs and fingers following explosion injuries was evaluated.
- The patient's remaining hand structures and the potential for toe transplantation were assessed.
Findings:
- A combination of bone and soft-tissue procedures, including toe transplantation, successfully restored bilateral grip.
- Power grip was achieved on one side, and fine grip was restored on the contralateral side.
Implications:
- This case demonstrates the potential of toe transplantation in complex hand reconstruction for severe amputations.
- Surgical planning and execution are critical for optimizing functional outcomes in patients with bilateral hand loss.