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J Reconstr Microsurg 2003; 19(2): 079-084
DOI: 10.1055/s-2003-37810
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1 (212) 584-4662

Repair of Avulsion Injury of the Whole Hand with Single-Stage Transfer of Five Combined Tissues: Case Report

Lei Xu1 , Jianguang Xu1 , Kuishui Shou2 , Yongjun Rui2
  • 1Huashan Hospital, Fudan University, Shanghai, China
  • 2Wuxi Hand Surgery Hospital, Jiangsu Province, China
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Publication Date:
10 March 2003 (online)

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ABSTRACT

The authors present a 32-year-old man with an entire left hand avulsion injury. This was repaired in one stage with five free-tissue transfers, a combination of a left hallux wrap-around flap for thumb reconstruction, bilateral second toes for middle and ring finger reconstruction, and bilateral femoral anterolateral flaps for coverage of the injured hand at the palmar and dorsal aspects. All the transfers survived uneventfully. Due to enlargement of the flaps and narrowness of the first web space, three further surgical procedures were subsequently carried out. Over a 2-year follow-up, a satisfactory appearance of the reconstructed hand and functional restoration were obtained.

KEYWORDS

Total hand avulsion - single-stage reconstruction - combined five-tissue transfer