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Ectopic multiple digit replantation salvage of hand torsion injury following anterolateral thigh perforator flap coverage. | LitMetric

AI Article Synopsis

  • Surgeons face challenges when dealing with severe finger injuries, especially in cases involving amputations and soft tissue damage, which can lead to compartment syndrome.
  • The article presents a case where a temporary ectopic finger implant was used to support a crushed finger at the Metacarpophalangeal (MCP) level, with the hand being stabilized using a mini external fixator, while a free flap covered the tissue defect.
  • The procedure allowed for successful reattachment of the finger later without complications at the donor site on the foot, demonstrating that using ectopic sites for amputee patients can be a viable option under specific conditions.

Article Abstract

Retrieval of four finger injury at proximal stump amputation with segmental injury along with soft tissue defect and impending compartment syndrome continues to be challenge for the surgeon. Immediate transplant considering temporary ectopic foster as a practical option in special case. We describe temporary ectopic finger implant for crush injury at Metacarpophalangeal (MCP level) with hand torsion along with forearm compartment was fostered to Dorsum of the foot. The torsion fingers was temporary fixed with mini external fixator for stabilization as salvage, ALT free flap was used to cover soft tissue defect of the hand. Replantation of survived figure was performed using the long pedicle to anatomical site without crushing the MCP joint to allow for later tendon transfer for finger. Satisfactory function regained with no foster site (foot) complication like pain or disability. The author validated ectopic foster for amputee as and procedure of choice for salvage of extremity under special circumstances.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10624565PMC
http://dx.doi.org/10.1016/j.jpra.2023.10.006DOI Listing

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