Severe Crush Injury to the Forearm and Hand: The Role of Microsurgery.
The main goals of treating severe crush injuries are debriding away devitalized tissue and filling any resultant dead space with vascularized tissue. In the authors' experience, the most ideal methods for soft tissue coverage in treating crush injuries are the iliac flap, the adipofascial lateral arm flap, and the gracilis flap. Accompanying bone defects respond very well to free corticoperiosteal flaps. Digital defects often require the use of complete or subtotal toe transfer to avoid amputation and restore function to the hand.
Instituto de Cirugía Plástica y de la Mano, Private Practice, Hospital La Luz and Hospital Mutua Montañesa, Madrid/Santander, Spain. Electronic address: drpinal@drpinal.com.
Francisco
F
Del Piñal
Instituto de Cirugía Plástica y de la Mano, Private Practice, Hospital La Luz and Hospital Mutua Montañesa, Madrid/Santander, Spain; Department of Orthopaedic Surgery, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile.
Esteban
E
Urrutia
Instituto de Cirugía Plástica y de la Mano, Private Practice, Hospital La Luz and Hospital Mutua Montañesa, Madrid/Santander, Spain; Department of Traumatology and Orthopedics, Clinical Hospital, Warsaw, Otwock, Poland.
Maciej
M
Klich
D000071576:Crush Injuries / Q000601:surgery*; D003646:Debridement; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008866:Microsurgery; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps
Compartimental syndrome; Crush syndrome; Free flap; Hand; Hand revascularization; Microsurgery