FUNCTIONAL SALVAGE OF A HAND AFTER UNSUCCESSFULL ATTEMPT OF REPLANTATION
DOI:
https://doi.org/10.15386/cjmed-631Keywords:
amputation, replantation, necrosis, double free flap transfer, flow-through flapAbstract
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.
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