Two immediate synchronous free flap transfers in a severe traumatic mid-hand defect: a case report.
A 66-year-old patient sustained a severe right hand injury resulting in a thumb pulp defect and unreplantable amputation of the index, long, and ring fingers at the metacarpophalangeal joint with joint exposure. There was also an 8 cm defect of the radial digital nerve of the little finger. Immediate one-stage total reconstruction of all of the defects was accomplished by a free groin flap and a free glabrous skin flap from the foot. Opposable function of the hand was thus preserved.
Department of Plastic & Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.
C H
CH
Lin
F C
FC
Wei
D000368:Aged; D000673:Amputation, Traumatic / Q000534:rehabilitation / Q000601:surgery*; D005383:Finger Injuries / Q000534:rehabilitation / Q000601:surgery*; D006230:Hand Injuries / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D008297:Male; D012677:Sensation / Q000502:physiology; D013524:Surgical Flaps / Q000379:methods; D013933:Thumb / Q000293:injuries* / Q000601:surgery