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Case Reports
. 2016;89(4):548-554.
doi: 10.15386/cjmed-631. Epub 2016 Oct 20.

Functional salvage of a hand after unsuccessfull attempt of replantation

Ileana Rodica Matei  1 , Alexandru Valentin Georgescu  1
Affiliations
Case Reports

Functional salvage of a hand after unsuccessfull attempt of replantation

Ileana Rodica Matei et al. Clujul Med. 2016.

Abstract

Amputation by crush injuries generally represents a contraindication for replantation, and especially when the lesion is caused by the summation of multiple concomitant traumatic mechanisms. We present the case of a 22 year- old female who arrived in our service with a crush/torsion amputation of all long fingers at the metacarpo-phalangeal level of the right hand. After the unsuccessful attempt of replantation, the functional reconstruction of the hand was achieved by using a double free flap transfer: anterolateral thigh perforator flap (ALT) and digital block transfer of second and third toes.

Keywords: amputation; double free flap transfer; flow-through flap; necrosis; replantation.

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Figures

Figure 1
Figure 1
preoperative aspect showing the large crushed area and the torsion of the amputated part.
Figure 2
Figure 2
Necrosis of the replanted segment.
Figure 3
Figure 3
Aspect of the hand after necrectomy and granulation.
Figure 4
Figure 4
Harvesting of the antero-lateral thigh perforator flap.
Figure 5
Figure 5
Harvesting of the digital block of second and third toes.
Figure 6
Figure 6
Immediate postoperative aspect.
Figure 7
Figure 7
One year postoperative aspect, showing the good functional rehabilitation.
Figure 8
Figure 8
One year postoperative aspect, showing the good functional rehabilitation.
Figure 9
Figure 9
One year postoperative aspect, showing the good functional rehabilitation.
See this image and copyright information in PMC

References

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