title: Repair of avulsion injury of the whole hand with single-stage transfer of five combined tissues: case report.
abstract: The authors present a 32-year-old man with an entire left hand avulsion injury. This was repaired in one stage with five free-tissue transfers, a combination of a left hallux wrap-around flap for thumb reconstruction, bilateral second toes for middle and ring finger reconstruction, and bilateral femoral anterolateral flaps for coverage of the injured hand at the palmar and dorsal aspects. All the transfers survived uneventfully. Due to enlargement of the flaps and narrowness of the first web space, three further surgical procedures were subsequently carried out. Over a 2-year follow-up, a satisfactory appearance of the reconstructed hand and functional restoration were obtained.
authors.affiliation: Huashan Hospital, Fudan University, Shanghai, China.
authors.forename: Lei
authors.initials: L
authors.lastname: Xu
authors.forename: Jianguang
authors.initials: J
authors.lastname: Xu
authors.forename: Kuishui
authors.initials: K
authors.lastname: Shou
authors.forename: Yongjun
authors.initials: Y
authors.lastname: Rui
mesh_terms: D000062:Accidents, Occupational; D000328:Adult; D000673:Amputation, Traumatic; D016025:Bone Transplantation / Q000379:methods*; D005383:Finger Injuries / Q000175:diagnosis / Q000601:surgery; D005500:Follow-Up Studies; D006085:Graft Survival; D006227:Hand Deformities, Acquired / Q000534:rehabilitation; D006230:Hand Injuries / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology