title: [Bilateral hand salvage of subtotal left hand amputation and complex right wrist destruction].
abstract: Complex injuries of the hand and wrist lead to severe loss of function. Complex trauma of the upper extremities may lead to severe disabilities and therefore meticulous reconstruction is of utmost importance to enable good functional outcome and to assure an adequate quality of life. We demonstrate the case of a patient who suffered from complex bilateral injuries at the wrist level including a subtotal amputation of the left hand and third degree open wrist destruction on the contralateral side. Due to the immediate bilateral operation including the unilateral use of an osteocutaneous free fibula flap, both hands could be salvaged in this case. Severe hand and wrist injuries also require intensive postoperative treatment including intensive physiotherapy, occupational therapy, pain therapy and psychological support to achieve a good functional result.
authors.affiliation: BGU Ludwigshafen, Hand-, Plastische und Rekonstruktive Chirurgie, Klinik für Unfallchirurgie und Orthopädie, Ludwig-Guttmann-Straße 13, 67071, Ludwigshafen, Deutschland. jfhernekamp@bgu-ludwigshafen.de.
authors.forename: J-F
authors.initials: JF
authors.lastname: Hernekamp
authors.affiliation: BGU Ludwigshafen, Hand-, Plastische und Rekonstruktive Chirurgie, Klinik für Unfallchirurgie und Orthopädie, Ludwig-Guttmann-Straße 13, 67071, Ludwigshafen, Deutschland.
authors.forename: A K
authors.initials: AK
authors.lastname: Bigdeli
authors.affiliation: Klinik für Plastisch-rekonstruktive, Ästhetische und Handchirurgie, Klinikum Kassel, Kassel, Deutschland.
authors.forename: H
authors.initials: H
authors.lastname: Engel
authors.affiliation: BGU Ludwigshafen, Hand-, Plastische und Rekonstruktive Chirurgie, Klinik für Unfallchirurgie und Orthopädie, Ludwig-Guttmann-Straße 13, 67071, Ludwigshafen, Deutschland.
authors.forename: U
authors.initials: U
authors.lastname: Kneser
authors.affiliation: BGU Ludwigshafen, Hand-, Plastische und Rekonstruktive Chirurgie, Klinik für Unfallchirurgie und Orthopädie, Ludwig-Guttmann-Straße 13, 67071, Ludwigshafen, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Kremer
authors.affiliation: Gemeinschaftspraxis Pelzer-Czermak, Heidelberg, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Pelzer
mesh_terms: D000672:Amputation Stumps / Q000601:surgery; D000673:Amputation, Traumatic / Q000534:rehabilitation* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000534:rehabilitation* / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D013524:Surgical Flaps; D016896:Treatment Outcome; D014954:Wrist Injuries / Q000534:rehabilitation* / Q000601:surgery*
keywords: Bilateral; Free flap; Subtotal; Traumatic amputation; Wrist injuries