title: Vascularized Composite Tissue Spare Part Transfer for Central Hand Defect Reconstruction: Case Report.
abstract: Injuries to the hand with loss of joints, tendons, nerves, and soft tissue may require complex, innovative reconstructive techniques to achieve a favorable functional and aesthetic outcome. We present a case of a manual laborer who sustained a multifaceted injury from a metal press machine with loss of composite structures including the middle and ring finger metacarpophalangeal joints, flexor and extensor tendons, digital nerves, and dorsal/volar soft tissues. Reconstruction included using the spare parts technique for transferring his ring finger proximal interphalangeal joint as a pedicle to reconstitute the missing metacarpophalangeal joint of his middle finger. The soft tissue from the ring finger was rearranged to provide aesthetic coverage of the hand with like-to-like reconstruction of the glabrous and nonglabrous skin.
authors.affiliation: Section of Plastic Surgery, University of Michigan Health Systems, Ann Arbor, MI.
authors.forename: Jessica
authors.initials: J
authors.lastname: Billig
authors.affiliation: Department of Surgery, Saint Joseph Mercy Hospital, Ann Arbor, MI.
authors.forename: Shepard P
authors.initials: SP
authors.lastname: Johnson
authors.affiliation: Section of Plastic Surgery, University of Michigan Health Systems, Ann Arbor, MI.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Ogawa
authors.affiliation: Section of Plastic Surgery, University of Michigan Health Systems, Ann Arbor, MI. Electronic address: kecchung@umich.edu.
authors.forename: Kevin C
authors.initials: KC
authors.lastname: Chung
mesh_terms: D000062:Accidents, Occupational; D000328:Adult; D016025:Bone Transplantation / Q000379:methods*; D005384:Finger Joint / Q000601:surgery*; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008662:Metacarpophalangeal Joint / Q000293:injuries / Q000601:surgery*; D019637:Orthopedic Procedures / Q000379:methods*
keywords: Hand trauma; metacarpophalangeal joint reconstruction; vascularized joint transfer