Free flap combined with super Flow-through technique in replantation of multiple amputated digits in one hand with destructive palm injury: a case report
10.3760/cma.j.cn441206-20240331-00089
- VernacularTitle:利用游离皮瓣超级Flow-through技术成功完成手掌部毁损的单手多指离断再植1例
- Author:
Teng WANG
1
;
Haiyang ZONG
1
;
Xinyu FAN
1
;
Xiaoqing HE
1
;
Xingbo CAI
1
;
Liming LYU
1
;
Yongqing XU
1
Author Information
1. 中国人民解放军联勤保障部队第九二〇医院骨科，昆明 650032
- Publication Type:Journal Article
- Keywords:
Digit replantation;
Free flap;
Super Flow-through technique;
Destructive palmar injury
- From:
Chinese Journal of Microsurgery
2024;47(6):690-694
- CountryChina
- Language:Chinese
-
Abstract:
A 19-year old male patient with multiple traumatic amputations of all digits and destructive injury in one hand caused by a cement mixer was admitted in the Department of Orthopaedics, 920 Hospital, Joint Logistics Support Force, in February 2017. In the emergency surgery, the severed thumb and a bundle of severed index, middle and ring fingers were successfully replanted using super Flow-through technique with transfer of a free anterolateral thigh perforator flap (ALTPF). The little finger was abandoned. The donor site of the flaps were sutured directly. In stage II surgery, bilateral metatarsal tendon transfer and right sural nerve transfer were performed to rebuild the motor and sensory functions of the replanted digits. At 2 years of postoperative follow-up, the texture of the replanted 1st-4th digits and transferred flap in right hand was soft without rupture, and the sensation was restored to S 2+. Some digital flexion and extension were restored, which enable the patient to fulfil the most essential requirement in daily life. According to the Evaluation Standard of Upper Limb Functional of Hand Surgery of Chinese Medical Association, the functional recovery was fear. Only a linear scar remained at the donor site of thigh.
