Reconstruction of a complex defect of the dorsum of the hand.
A 37-year-old right-handed male truck driver was admitted with a severe injury of the dorsum of his right hand following a traffic accident. He had a large combined defect involving skin, tendons and bone. A complex reconstruction was performed using a large iliac crest allograft, a tendon graft and a free serratus anterior flap in one stage, 8 hours after the injury. A skin graft was performed later. 2 years later the functional and aesthetic result are good.
Department of Orthopaedic Surgery, C.H.U-J. Minjoz Hospital, Besançon, France.
Y
Y
Tropet
J M
JM
Brientini
P
P
Garbuio
P E
PE
Ridoux
P
P
Vichard
D000328:Adult; D016025:Bone Transplantation; D006225:Hand / Q000601:surgery*; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D007085:Ilium; D008297:Male; D016038:Skin Transplantation; D013524:Surgical Flaps; D013709:Tendon Transfer