Repair of complex defects in right upper extremity with microsurgery: A case report
10.3760/cma.j.cn441206-20220914-00192
- VernacularTitle:右上肢严重毁损伤显微外科治疗一例
- Author:
Zonghai JIA
1
;
Gaofeng LIANG
;
Chaopeng DUAN
;
Manying ZHANG
;
Junwen DONG
;
Wei ZHANG
;
Zhongyu JIA
;
Yunsheng TENG
;
Yongming GUO
Author Information
1. 西安兵器工业五二一医院手外科,西安 710065
- Keywords:
Upper extremity;
Severe injury;
Anterolateral thigh perforator flap;
Polyfoliate perforator flap;
Microsurgical technique
- From:
Chinese Journal of Microsurgery
2022;45(6):702-704
- CountryChina
- Language:Chinese
-
Abstract:
This is a report of a complex defects in the right upper extremity treated in the Department of Hand and Microsurgery, 521 Hospital of Norinco Group, in October 2016. The patient received multi-transfers of flaps for one-stage reconstruction, including a double-paddled ALTPF and a compound flap of the great toe and the second toe. Vascular compromises occurred in flaps on the 2nd day after surgery. All the flaps were rescued and survived completely after surgical exploration. Followed-up at 3 year after surgery showed that the appearance and function of the affected limb recovered well. The flexion and extension of elbow and wrist were normal. The pinch function of the reconstructed thumb and index finger recovered well.