One Stage Microsurgical Reconstruction with Chimeric Flap for Salvaging a Complex Hand Injuries

Autor:	Wan Faisham Numan Wan Ismail, Mohd Shahrul Suondoh, Wan Azman Wan Sulaiman, Arman Zaharil Mat Saad
Rok vydání:	2020
Předmět:	Carpal bones medicine.medical_specialty medicine.anatomical_structure business.industry medicine General Earth and Planetary Sciences One stage musculoskeletal system business General Environmental Science Tendon Surgery
Zdroj:	Archives of Hand and Microsurgery. 25:156-160
ISSN:	2586-3533 2586-3290
DOI:	10.12790/ahm.20.0007
Popis:	Hand injuries, involving extensor tendon with carpal bone loss are catastrophic events. Reconstructive surgeons typically face difficulties in minimizing the number of operations, recovery period and restoring its functions with an acceptable aesthetic outcome. However, chimeric flap, which consists of multiple composite flaps from one of the sources of main vascular system is a promising option for reconstruction. This paper presents a case of near-amputated degloving injury over the extensor tendon with carpal bone loss on left hand due to road traffic accidents. The patient had a hand reconstruction with chimeric flap consisted of free fasciocutaneous anterolateral thigh flap and vascularized osteomyocutaneous iliac bone graft with tensor fascia lata from the lateral circumflex femoral vascular system. As a result, the hand functioned well and appeared aesthetically acceptable. Thus, this surgery is an effective option in recovering and reconstructing a complex and traumatic hand injury that involved multiple composite tissue defects.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::c1c9822df55ff808a927db09df1a9696 https://doi.org/10.12790/ahm.20.0007 Zobrazit plný text záznamu Plný text ve formátu PDF