Repairation and reconstruction of destructive palm
- VernacularTitle:手掌毁损的修复与重建
- Author:
Jinfang CAI
- Publication Type:Journal Article
- Keywords:
Hand;
Reconstruction;
Replantation
- From:
Chinese Journal of Microsurgery
2000;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the repairation of the appearance and reconstruction of the function to the destructive palm Method Two methods were adopted according to the destructive extent of palm and finger The destructive severed palm can be ectopicaly replanted by four kinds of ways:(1) 2 severed fingers and partial palm were ectopicaly replanted to the end of the forearm (2) 2 or 3 severed fingers and partial palm were replanted to the wrist (3) 5 fingers and partial plam were replanted to the end of the forearm (4)The partial palm was reconstructed and the severed fingers were ectopicaly replanted For the cases suffered from complete or partial destructive palm injury,the corresponding tissues from the foot such as toe,first web,metatarsal bones or dorsal flap were transplanted according to the needs of hand reconstruction Since the blood supply and return system mainly depends on dorsal artery of foot and great saphenous vein,the entire resection and transplantation can be done at one stage in all cases Result All the cases gained success except one finger with partial necrosis Good recovery of appearance and function of hand were obtained Conclusion The destructive palm can be reconstructed by ectopic replantation and tissue transplantation The function and appearance of hand can be improved
