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Functional and esthetic reconstruction of a mutilated hand using multiple toe transfers and iliac osteocutaneous flap: A case report

✍ Scribed by Fu-Chan Wei; Chee-Seng Seah; Hung-Chi Chen; Chwei-Chin Chuang

Book ID: 102509744
Publisher: John Wiley and Sons
Year: 1993
Tongue: English
Weight: 315 KB
Volume: 14
Category: Article
ISSN: 0738-1085
DOI: 10.1002/micr.1920140607

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✦ Synopsis

Abstract

With reconstructive microsurgical techniques, some previously hopelessly mutilated hands have become reconstructable. The functional and esthetic results of such hands can be improved to an acceptable degree with thorough prereconstruction evaluation and planning. This case report demonstrates the approach to reconstruction of a mutilated hand using the following: a pedicle groin flap for soft tissue reconstruction of the first web space and the amputation stump of the thumb; a combined second and third toe transfer for reconstruction of opposable fingers at the amputated index and middle finger stumps; a single second toe for reconstruction of the thumb, and an iliac osteocutaneous flap for reconstruction of the ulnar border of the palm. © 1993 Wiley‐Liss Inc.

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