Hand reconstruction using heterotopic replantation of amputated index and little fingers.
- Author:
Gong-Lin ZHANG
1
;
Ke-Ming CHEN
;
Jun-Hua ZHANG
;
Shi-Yong WANG
Author Information
1. Institute of Orthopaedics, Lanzhou General Hospital of Lanzhou Military Area, Lanzhou 730050, China.
- Publication Type:Journal Article
- MeSH:
Amputation, Traumatic;
surgery;
Finger Injuries;
surgery;
Fingers;
surgery;
Humans;
Reconstructive Surgical Procedures;
Replantation
- From:
Chinese Journal of Traumatology
2011;14(5):316-318
- CountryChina
- Language:English
-
Abstract:
In cases of severe segmental injury across the hand and wrist, but one or other fingers are still in peak condition, the fingers can be selected for replantation at the forearm bones to restore pinch function. Here we reported an unusual case with a severe crush-avulsion amputated injury to the right hand caused by a machine accident. We conducted hand reconstruction using heterotopic replantation of the amputated index and little fingers. During 19 months follow-up, the bone union healed well with satisfactory outcome. The interphalangeal and metacarpophalangeal joint of the fingers after the heterotopic replantation had a good holding activity. This is a worthwhile procedure and the patient is satisfied with the result. The major disadvantage of this method is the poor appearance of the reconstructed fingers.
