Multi-digit defect and comprehensive reconstruction: a case report
10.3760/cma.j.cn441206-20240516-00121
- VernacularTitle:多手指缺损全形再造1例
- Author:
Chao CHEN
1
;
Huanlong LIU
;
Jie FANG
;
Yaxing WANG
;
Zengtao WANG
Author Information
1. 山东第一医科大学附属省立医院手足与显微重建外科，济南 250021
- Publication Type:Journal Article
- Keywords:
Comprehensive reconstruction;
Multi-digit reconstruction;
Toe transplantation;
Medial plantar flap
- From:
Chinese Journal of Microsurgery
2024;47(6):686-689
- CountryChina
- Language:Chinese
-
Abstract:
This article reports a 31-year old male who was treated in the Department of Hand, Foot and Reconstructive Microsurgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University. Comprehensive procedures were carried out in 4 surgeries. The first surgery was carried on 19th November, 2022, and the final surgery was performed on 24th February, 2024. The patient was found with a shortened thumb and segmental missing in index and middle fingers, all had been left from the primary digital replantation surgery. Reconstruction surgery were performed to reconstruct the grade V defect of index finger, grade Ⅲ defect of middle finger, lengthening in thumb and release of the contracted first web by transfer of a free medial plantar flap. All the toes were preserved. At 2 months after surgery, the thumb and reconstructed fingers were in natural appearance with normal length compared with the contralateral digits. The range of motion (ROM) of the transferred proximal interphalangeal joint of index finger was 80°(5°-85°), and the total ROM of index finger was 180°. The patient had regained good function of right hand and was able to fulfill the requirements of daily life and work.
