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First web space reconstruction by a free flap from the contralateral paralysed hand
R Adani1, L Castagnini, M Balsam
1Department of Orthopaedic Surgery, University of Modena, Italy.
Microsurgery
|January 1, 1995
Summary
Composite tissue transfer in reconstructive surgery allows using removed tissue for distant reconstruction without donor site deficit. This case demonstrates using the dorsum of a paralyzed hand for first web space reconstruction.
Area of Science:
- Reconstructive surgery
- Tissue transfer techniques
- Microsurgery
Background:
- Composite tissue transfer is a valuable reconstructive technique.
- Utilizing tissue from elective ablative operations avoids donor site morbidity.
- Vascularized free-tissue transfer offers solutions for complex defects.
Observation:
- A case of reconstructive surgery is presented.
- The dorsum of a paralyzed and insensate right hand was utilized.
- This tissue served as a free flap for reconstruction.
Findings:
- Successful free tissue transfer of the dorsum of the right hand.
- Reconstruction of the first web space of the left hand was achieved.
- The technique avoided creating a donor deficit.
Implications:
- Demonstrates an innovative application of tissue transfer in reconstructive surgery.
- Highlights the potential of using otherwise discarded tissue for reconstruction.
- Offers a viable option for complex hand deformities and defects.